Cesarean Section Complications, Comorbidities and Coexisting Conditions, Obstetric Anesthesia Problems, Obstetric Complication, Quality of Life
Conditions
Keywords
Obstetric comorbidity index, Obstetric Quality of Recovery, Cesarean section, Obstetric Anaesthesia
Brief summary
The goal of this prospective observational study is to learn about the correlation between obstetric comorbidity index and obstetric quality of recovery score in pregnant patients who undergo cesarean section. The main question aims to answer are: * Are there a correlation between the obstetric comorbidity index and the obstetric quality of recovery score? Can we predict the postoperative quality of recovery by calculating the obstetric comorbidity index before delivery? * What is the relationship between these scores with the type of anaesthesia given? Participants will answer an 11-question assessment scale to evaluate their recovery of quality in the postpartum period.
Detailed description
After the approval of the ethics committee and the written informed consent of the patients, the patients who are meeting the criteria of inclusion will be included in the study. The demographic data, type of anaesthesia, intraoperative haemorrhage, length of hospital stay and intensive care unit stay(if applicable), the urgency category of the cesarean section, and complications will be recorded. patients will be evaluated with obstetric quality of recovery assessment score on postpartum 1st and 2nd days
Interventions
Patients' quality of recovery will be evaluated with Obstetric Quality of recovery score (ObsQoR-11) on postpartum day 1 and day 2.
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women who are admitted for Cesarean section \> 18 years old * Speaking Turkish or English * Agreeing to participate in the study
Exclusion criteria
* Pregnant women \< 18 years old * Can not speak Turkish or English * Not agreeing to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The correlation between Obstetric comorbidity index (OBCMI) and Obstetric Quality of Recovery score(ObsQoR-11) on postpartum 1st day | each patient will be evaluated on postpartum 1st day | Obstetric comorbidity index will be calculated before c-section.ObsQoR-11 Questionnaire will be done postoperatively. |
| The correlation between Obstetric comorbidity index (OBCMI) and Obstetric Quality of Recovery score(ObsQoR-11) on postpartum 2nd day | each patient will be evaluated on postpartum 2nd day | Obstetric comorbidity index will be calculated before c-section.ObsQoR-11 Questionnaire will be done postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The relation between Lenght of hospital stay and ObsQoR-11 score on postpartum 2nd day | 2months | Lenght of hospital stay will be recorded from hospital software. ObsQoR-11 will be evaluated on postpartum 2nd day |
| The relation between complications and OBCMI | 2months | Complications will be recorded. |
| The relation between complications and ObsQoR-11 on postpartum 1st day | 2months | Complications will be recorded |
| The relation between complications and ObsQoR-11 on postpartum 2nd day | 2months | Complications will be recorded |
| The relation between urgency of cesarean section and OBCMI | each patient will be evaluated on the day of c-section | C-section category will be evaluated |
| The relation between urgency of cesarean section and ObsQoR-11 score on postpartum 1st day | each patient will be evaluated on the day of c-section | C-section category will be evaluated |
| The relation between urgency of cesarean section and ObsQoR-11 score on postpartum 2nd day | each patient will be evaluated on the day of c-section | C-section category will be evaluated |
| The relation between intraoperative hemorrhage and OBCMI | On the day of C-section | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. |
| The relation between intraoperative hemorrhage and ObsQoR-11 score on postpartum 1st day | On the day of C-section | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. |
| Evaluation of the relationship between type of anaesthesia and OBCMI | each patient will be evaluated on the day of c-section | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. Obstetric comorbidity index will be calculated before c-section. |
| The relation between postoperative intensive care unit stay and OBCMI | each patient will be evaluated on the day of c-section | Postoperative intensive care unit need and lenght of stay will be recorded |
| The relation between postoperative intensive care unit stay and ObsQoR-11 score on 1st day | each patient will be evaluated on postpartum 1st day | Postoperative intensive care unit need and lenght of stay will be recorded. |
| The relation between postoperative intensive care unit stay and ObsQoR-11 score on 2nd day | each patient will be evaluated on postpartum 2nd day | Postoperative intensive care unit need and lenght of stay will be recorded. |
| Demographic data, previous obstetric history and their relation with OBCMI | On the day of C-section | Demographic data and previous obstetric history will be recorded in preoperative assessment |
| Demographic data, previous obstetric history and their relation with ObsQoR-11 score on postpartum 1st day | Postpartum 1st day | Demographic data and previous obstetric history will be recorded in preoperative assessment |
| Demographic data, previous obstetric history and their relation with ObsQoR-11 score on postpartum 2nd day | Postpartum 2nd day | Demographic data and previous obstetric history will be recorded in preoperative assessment |
| Evaluation of the relationship between type of anaesthesia and ObsQoR-11 score on postpartum 1st day | each patient will be evaluated on postpartum 1st day | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. ObsQoR-11 will be evaluated on postpartum 1st day |
| Evaluation of the relationship between type of anaesthesia and ObsQoR-11 score on postpartum 2nd day | each patient will be evaluated on postpartum 2nd day | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. ObsQoR-11 will be evaluated on postpartum 2nd day |
| The relation between intraoperative hemorrhage and ObsQoR-11 score on postpartum 2nd day | The first 2 days postpartum | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. |
| The relation between Lenght of hospital stay and ObsQoR-11 score on postpartum 1st day | 2months | Lenght of hospital stay will be recorded from hospital software.ObsQoR-11 will be evaluated on postpartum 1st day |
Countries
Turkey (Türkiye)