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Quality of obstetric care by the type of anaesthesia for caesarean section

Quality of obstetric care by the type of anaesthesia for caesarean section at a tertiary care hospital: a retrospective analysis

Status
Completed
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12618000056291
Enrollment
3082
Registered
2018-01-17
Start date
2017-08-25
Completion date
2017-11-01
Last updated
2018-01-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Royal College of Anaesthetists (RCOG), in their Audit from 2012, suggests that an indicator of the quality of obstetric care, except the rate of general and regional anaesthesia, should be the rate of conversion of regional analgesia to general anaesthesia for caesarean section. That rate, depending on the urgency category of C-section, should not be larger than 1% for category 4 and 15% for category 1. The primary goal of this study is to compare types of anaesthesia used at our department with RCOG standards by retrospectively analysing the type of anaesthesia used for C-section during the three-year period. The secondary goal is to establish which factors led to failure of regional anaesthesia for C-section.

Interventions

Study involves all patients undergoing caesarean section under general, spinal or epidural anaesthesia. All of the patients are managed by standard, routine anaesthesia methods and monitored by standard methods. Standard monitored data will be recorded for all patients: age, weight, height, BMI, parity, gestational weeks, indication for C-section, urgency category of C-section, type and dose of drugs used and experience level of staff involved. For cases of conversion of regional to general anae

Study involves all patients undergoing caesarean section under general, spinal or epidural anaesthesia. All of the patients are managed by standard, routine anaesthesia methods and monitored by standard methods. Standard monitored data will be recorded for all patients: age, weight, height, BMI, parity, gestational weeks, indication for C-section, urgency category of C-section, type and dose of drugs used and experience level of staff involved. For cases of conversion of regional to general anaesthesia additional variables observed are time between regional anaesthesia applications and general anaesthesia, as well as number of top-ups. Participants are observed until discharge from the ICU or PACU.

Sponsors

Department for Anaesthesiology and Intensive Care Medicine, Clinic for Surgery, Clinical Hospital Center Zagreb, Zagreb, Croatia
Lead SponsorHospital

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients who underwent C-section

Exclusion criteria

Incomplete data for type of anaesthesia used.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026