Pain
Conditions
Brief summary
In this study we will assess the incidence and severity of intraoperative and postoperative pain and determine the effect of preoperative anxiety on intraoperative and postoperative pain incidence. Secondary outcome is to assess provider perception of pain.
Detailed description
This is a prospective, observational study. Following obtaining written formal consent parturients will be requested to fill out the following questionnaires 1. Three questions to predict acute pain: * Verbal numeric score Anxiety 0-10 * Anticipated postoperative pain level * Anticipated analgesic requirements 2. Speilberger STATE-TRATE inventory index 3. Pain Catastrophizing Scale In the post anesthesia care unit (PACU) parturients will be approached and requested to fill out a questionnaire regarding intraoperative pain, medication consumption, anxiety and nausea. Furthermore parturients will also be approached at 12 hours and 48 hours postpartum and questioned regarding anxiety levels and medication consumption and requested to fill out the OBSQOR 11 questionnaire at 12 hours postpartum. Additionally, both the attending anesthesiologist and obstetrician will be questioned regarding the parturient's level of intraoperative pain, postoperative pain levels anxiety medication consumption, uteronic management, surgical technique and management.
Interventions
Parturients will be approached at 24 hours postpartum and questioned regarding anxiety levels and medication consumption and requested to fill out the OBSQOR 11 questionnaire at 24 hours postpartum.
OTHERpreoperative questionnaire
1. Three questions to predict acute pain: * Verbal numeric score Anxiety 0-10 * Anticipated postoperative pain level * Anticipated analgesic requirements 2. Speilberger STATE-TRATE inventory index 3. Pain Catastrophizing Scale
OTHERPACU questionnaire
parturients will be approached and requested to fill out a questionnaire regarding intraoperative pain, medication consumption, anxiety and nausea.
OTHERPostoperative questionnaire- Obstetrician
The attended obstetrician will be questioned regarding the parturient's level of intraoperative pain, postoperative pain levels anxiety medication consumption, uteronic management, surgical technique and management.
OTHERPostoperative questionnaire- anesthesiologist
he attended anesthesiologist will be questioned regarding the parturient's level of intraoperative pain, postoperative pain levels anxiety medication consumption, uteronic management, surgical technique and management.
Sponsors
Rabin Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
\*Women undergoing an elective cesarean section under spinal anesthesia with the ability to comply with the study requirements will be eligible for participation
Exclusion criteria
* All women unable to receive spinal anesthesia or with inadequate spinal anesthesia prior to the beginning of surgery (Less than T4 Sensory Level to pinprick assessed from blunt tip needle in caudal to cranial direction ) * All women receiving antianxiety medication * Language barrier
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Verbal numeric Score of postoperative pain | 24 hours | measured by a verbal numeric score from 0-10 |
| Verbal numeric Score of intraoperative pain | 1 hour during surgery | measured by a verbal numeric score from 0-10 |
| Preoperative Anxiety | 2 hours before surgery | Score from 0-10 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient provider perception of pain | 1 hour during surgey | measured by a verbal numeric score from 0-10 |
Countries
Israel
Outcome results
None listed