Cesarean Section
Conditions
Brief summary
The purpose of this research is to describe how patients recover after scheduled C-section for the first 3 months.
Interventions
OTHERSurveys
All participants will complete surveys that range in time from baseline to 3 months post partum.
Sponsors
Mayo Clinic
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Women 18 years of age or older who receive neuraxial anesthesia for elective cesarean delivery
Exclusion criteria
* Less than 18 years of age * Gestational age less than 32 weeks * Women whose infants have died or are in the neonatal intensive care unit after delivery * Inability to read or understand written English * Failed neuraxial anesthesia requiring general anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Longitudinal evaluation of global health visual analog scale | Baseline, 24 h, 48 h, 1 week, 3 weeks, 6 weeks, 12 weeks postpartum | Global health on a scale of 0-100 to indicate current health status with 0 being the worst imaginable health and 100 being the best health imaginable. Plan was to identify the plateau of improvement of GHVAS postpartum. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To determine change in pain levels post C-section using the Visual Analog Scale (VAS) | Baseline, 24 hour, 48 hour, 1 week, 3 weeks, 6 weeks, 12 weeks, and 3 months | Describes pain from no pain at all to the worst pain imaginable using a 100mm horizontal line |
| Compare opioid consumption post partum | 24 hours, 48 hours, 1 week, 3 weeks, 6 weeks, and 3months post partum | Compare opioid consumption post partum |
| Compare non-maternal reasons for delayed hospital discharge | Hospital discharge, approximately 3 days | Document non-maternal reasons for delayed hospital discharge such as NICU admission of neonate, neonatal IV antibiotics, delay in transportation, delay from pediatric team. |
| Compare frequency of activities of daily living | Baseline | Activities of daily living are routine activities people do everyday without assistance including eating, bathing, getting dressed, toileting, cooking, cleaning, driving, shopping. Subject will report these activities as not done yet, done once, once/week, do most days, do every day |
| Compare Edinburgh Postnatal Depression Scale | 6 weeks postpartum | Edinburgh Postnatal Depression Scale is a 10 item questionnaire to identify women who have postpartum depression |
| Compare a modified recovery after delivery questionnaire | 6 weeks postpartum | 9 questions that ask the mother about feeding baby, sleep, fatigue, bonding, parenting, and social functioning |
| Correlation between postpartum ObsQOR-10 and EQ-5D | 6 weeks postpartum | EQ-5D describes current health for mobility, self-care, usual activities, pain, anxiety and on a scale of 0-100 to indicate current health status with 0 being the worst imaginable health and 100 being the best health imaginable. The ObsQOR-10 uses a scale of 0-10 with 0 being none and 10 being the worst imaginable, scoring pain, nausea, dizziness, shivering, comfort level, mobilization, holding baby, feeding baby, personal care, and feeling in control. |
| Correlation between ObsQOR-10 scores at multiple time points | 24 hours, 48 hours, 1 week postpartum | The ObsQOR-10 uses a scale of 0-10 with 0 being none and 10 being the worst imaginable, scoring pain, nausea, dizziness, shivering, comfort level, mobilization, holding baby, feeding baby, personal care, and feeling in control. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATOREmily E Sharpe, MD
Mayo Clinic
Outcome results
None listed