Optimizing Timing of Cesarean Delivery Consent on Labor and Delivery

This study is looking at the best time to get your consent for a possible cesarean delivery (C-section) if you're planning a vaginal birth but might need a C-section. Currently, practices vary widely. Researchers want to see if getting consent earlier, when you arrive at the hospital for labor induction, improves your experience compared to getting consent only if a C-section becomes medically necessary. They are studying this because about a third of pregnant patients have a C-section, and they want to make sure the consent process is as good as possible for those who have an unplanned C-section. You can join if you are 18 or older, receiving prenatal care at Duke Perinatal Durham or Duke Women's Health Associates, and are between 34 and 41 weeks pregnant with a scheduled or intended labor induction.

Study design
This is a randomized-controlled trial with 200 participants. You would be randomly assigned to one of two groups: either giving consent for a possible C-section when you arrive for labor induction, or giving consent only if a C-section is medically indicated.
What's involved
You would be approached to join the study between 34-41 weeks of pregnancy. Your perception of the informed consent process will be measured from day 1 postpartum to 6 weeks postpartum.
Compensation
Not stated in the trial record.
Follow-up
Your experience will be followed from the day after delivery up to 6 weeks postpartum.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07117708

Optimizing Timing of Cesarean Delivery Consent on Labor and Delivery

Recruiting
NAAges 18+InterventionalHealth services
Duke University
~200 participants
Updated 2026-04-23 on ClinicalTrials.gov
What's tested:Early Surgical ConsentSurgical Consent if Clinically Indicated

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Patient Perception of Informed Consent Process
Measured over From day 1 postpartum to 6 weeks postpartum
Pregnancy
Informed Consent
1 sites across 1 states
North Carolina1
  • Rebecca Beal · STUDY_DIRECTOR · Duke University Department of Obstetrics and Gynecology
  • Kristin Weaver · STUDY_DIRECTOR · Duke University

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Eligibility criteria

Inclusion

18 years of age or older
Receiving prenatal care at Duke Perinatal Durham or Duke Women's Health Associates
Between 34 weeks 0 days and 41 weeks 0 days of gestation
Scheduled for induction of labor OR are eligible/intend to be scheduled for an induction of labor

Exclusion

Trial of labor after cesarean delivery
Multiple gestation
Major fetal anomalies
Presenting for induction of labor as a transfer from the antepartum inpatient service
Non-English speaking
Those who do not intend to labor
Patients who are ineligible for vaginal delivery for other reasons, including fetal malpresentation or abnormal placentation
  • Patient Perception of Informed Consent ProcessFrom day 1 postpartum to 6 weeks postpartum

    As measured by survey.