Patients with a need for a primary planned cesarean section O82
Conditions
Interventions
Group 1: Group “Charité Cesarean Birth” and can be described as follows:
Phase 1: First, routine epidural anaesthesia is performed and sterile preparation is carried out. Then the surgery starts with
Sponsors
Klinik für Geburtsmedizin der Charité
Eligibility
Sex/Gender
Female
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: 1. Age >18 years and fulfilling all criteria for a medically indicated need for CS. The indications are according to the guidelines of the German Society for Gynaecology and Obstetrics. 2. Willing to be assigned to any of the study intervention groups 3. Gestational age >37 weeks, patients without history of heavy peripartal bleeding, bleeding disorders or other severe known maternal morbidities and known fetal anomalies.
Exclusion criteria
Exclusion criteria: 1. preoperative change of consent from the parents 2. heavy bleeding or other unexpected complications during CS and mechanical difficulty with the lift out of the babies head or breech. 3. All fetuses with prenatal diagnosed anomalies which required an immediate treatment were excluded (e.g. relevant congenital heart anomalies, closing defects of the abdominal wall, diaphragmatic hernia). 4. patients without written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Perinatal safety: APGAR Scores. Admission to an intensive care unit. Cardiorespiratory problems. Blood gas analysis umbilical cord (arterial pH value). Satisfaction with birth 2. Mothers safety: cardiorespiratory disorders. Blood loss. Modified Likert Scales were used to assess parameters of birth experience/satisfaction. Patients were asked with a standardized questionnaire between the second and fourth day after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Success rates of breast feeding. 2. Problems with breast feeding. 3. Conception of early-skin-to-skin contact. 4. Complications of the attending partner. Again Likert Scales were used. Also standardized questionnaire, given between 2nd and 4th day after birth. | — |
Countries
Germany
Contacts
Public ContactRobert Armbrust
Klinik für Geburtsmedizin der Charité
Outcome results
None listed