Cesarean Section
Conditions
Keywords
cesarean section, hyperacute cesarean section, family presence, experience of family presence, general anesthesia
Brief summary
This study concerns cesarean sections, category 1, meaning those cases where the life of mother and/or fetus is in immedeate danger and the child must be delivered within 15 minutes from activating the cesarean section team. In most hospitals in Denmark, these cesarean sections are most often performed in general anesthesia and the mother is endotracheally intubated. Previously in these situations, as the mother was rushed from the Labour Ward to the operation room (OR), her spouse/partner, would be placed outside the operating room (OR), and would stay there until the child had been delivered. In Lillebaelt Hospital, Kolding, Denmark, the newborn-resuscitation table is placed inside the OR. The father would most often be allowed to enter the OR when the child was delivered and placed on the resuscitation table (no matter the status of the child). However, during spring 2021, Lillebaelt Hospital Kolding updated the policy regarding the handling of the father/partner during cesarean section category 1. Now the father/partner is present in the OR during the whole procedure, including induction of general aesthesia, endotracheal intubation, performance of the cesarean section (drapings are positioned so that the father cannot see the operation field) and potential resuscitation efforts of the newborn. In another hospital in the same region (Region of Southern Denmark), Aabenraa Hospital, the father is not present in the OR during the cesarean section. He waits in the labour ward. The investigators therefore wish to investigate how the cesarean section category 1 is experienced by: the father/partner; the mother; the obstetrician; the anestesiologist; the midwife; the OR nurse; the anesthetic nurse, both in Kolding where the father/partner is present in the OR, and in Aabenraa, where the father/partner is not present in the OR during the cesarean sectio.
Interventions
OTHERPrescence of the father during cesarean section in general anesthesia
The father is now present in the OR during cesarean section category 1, instead of waiting outside
Sponsors
Sygehus Lillebaelt
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* cesarean section category 1
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Father/partners experience | 1-2 days after the cesarean section combined with assessment of change from baseline in father/partners experience at 3 months after the cesarean sectio | Father/partners experience of being present or not in the OR during the hyperacute cesarean section category 1, described by questionnaire, semi-structured interview and PTSD-screening |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anesthesiologists experience | Up to 2 weeks after the cesarean section | Anesthesiologists experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components |
| OR nurses experience | Up to 2 weeks after the cesarean section | OR nurses experience of the father being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components |
| Anesthetic nurses experience | Up to 2 weeks after the cesarean section | Anesthetic nurses experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components |
| Pediatricians experience | Up to 2 weeks after the cesarean section | Pediatricians experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components |
| Mothers experience | 1-2 days after the cesarean section | Mothers experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components |
| Surgeons (obstetricians) experience | Up to 2 weeks after the cesarean section | Surgeons experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components |
| Midwifes experience | Up to 2 weeks after the cesarean section | Midwifes experience of the father/partner being present or not in the OR during the acute cesarean section category 1, described quantitatively with possibility for qualitative components |
Other
| Measure | Time frame | Description |
|---|---|---|
| Neonatal complications | During cesarean section | Low APGAR-score, need for resuscitation, need for intubation, need for transfusion |
| Obstetric complications | Up to 1 week after the cesarean section | Perforation of bladder or bowel, bleeding \> 1000 ml, infection, need for transfusion |
| Anesthetic complications | During cesarean section | Esophageal intubation, difficult airway management |
Countries
Denmark
Outcome results
None listed