Intraperitoneal and Extraperitoneal Cesarean Section
Conditions
Interventions
Group 1:Intraperitoneal cesarean section + CSEA + postoperative transversus abdominis plane block
Group 2:Intraperitoneal cesarean section + CSEA + postoperative transversus abdominis plane block
Group 3:Intraperitoneal cesarean section + CSEA (control group)
Sponsors
The First Hospital of Handan City, Hebei Province
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: 1. Confirmed singleton pregnancy; 2. Have carefully read the informed consent form and voluntarily agree to participate; 3. Age: 18–35 years; 4. Gestational weeks: 37–42 weeks; 5. No history of severe psychiatric disorders; 6. No history of depression, anxiety, or other related disorders; 7. No severe dysfunction of vital organs such as heart, liver, or kidneys.
Exclusion criteria
Exclusion criteria: 1. Pathological obstetric conditions such as placenta previa, placental abruption, moderate preeclampsia, or need for general anesthesia; 2. Patients with ovarian malignancy during pregnancy, pregnancy with uterine malformation, threatened uterine rupture, or uterine rupture requiring emergency cesarean section; 3. Cognitive impairment, mental disorders, or inability to communicate effectively; 4. Pre-existing severe infection (e.g., sepsis) before surgery; 5. Pregnancy complicated by obesity (BMI >=30); 6. Estimated fetal weight > 4000 g.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative time to first passage of flatus.;Visual Analogue Scale score at rest and on activity; | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first ambulation (hours);Length of hospital stay;Time to first analgesic request;Self-Rating Anxiety Scale (SAS) score;Edinburgh Postnatal Depression Scale (EPDS) score;Operative time (minutes);Intraoperative blood loss;Total inpatient cost; | — |
Countries
China
Contacts
Public ContactXue Jie
The First Hospital of Handan City
Outcome results
None listed