MG30.21CHRONIC POSTSURGICAL PAIN
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Adult female patients with an appointment for scheduled spinal anesthesia (SPA) caesarean section. - Ability to fully understand the nature and purpose of the study - Ability to cooperate with the study team and comply with the requirements of the entire study - Signed written informed consent for the observational study and separate consent for saliva sample analysis - Consent prior to surgery
Exclusion criteria
Exclusion criteria: - Secondary caesarean section - Sectio caesarea with high health risk for mother (e.g., preeclampsia, amniotic infection syndrome, umbilical cord prolapse, uterine rupture) or child (very preterm or preterm premature birth, 40 years - Insufficient knowledge of German - Refusal to participate - Peri- and postoperative complication of the mother (e.g. amniotic fluid embolism) or the child, which subsequently lead to exclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is the incidence of persistent postoperative pain, defined as abdominal pain intensity on a Numeric Rating Scale (NRS = 3) three months after caesarean section. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are dysfunction of the gut-brain axis, psychological well-being, quality of life, impairment in daily life, analgesic consumption. Preoperative treatment expectations and specific treatment-related anxiety as well as moderating factors (symptoms of anxiety, depression, stress, cortisol level in saliva; medical factors, especially duration of surgery, anesthesia procedure, etc.; perceived quality of doctor-patient communication/satisfaction) are recorded as predictor variables. | — |
Countries
Germany
Contacts
Universitätsklinikum EssenKlinik für Anästhesiologie