Cesarean Section Complications, Perioperative Complication, Sleep Disturbance
Conditions
Keywords
cesarean delivery, sleep quality, Perioperative complication
Brief summary
Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Poor sleep quality also brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.
Detailed description
Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Postoperative pain after cesarean delivery can be found as high as 70 percent in the first postoperative pain. Also, the side effect of anesthetic may cause poor sleep quality such as itching, nausea, and vomiting. Poor sleep quality brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. The data on obstetric patients sleep quality in the early postoperative period is scarce. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.
Interventions
None listed
Sponsors
Mahidol University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age \>,= 18 years, undergoing cesarean delivery * Receive spinal anesthesia with local anesthetic drug and intrathecal morphine * Understand Thai
Exclusion criteria
* Patients receive epidural block or nerve block * Patients require conversion to general anesthesia with any reasons * Patients require endotracheal intubation with any reasons * Patients admit to intensive care unit in postoperative period * Patients with the end of operation at the time 24.00-6.00 AM
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sleep quality | 24 hours postoperative | Sleep quality at the first postoperative day evaluated by Richard Campbell Sleep Questionaire- Thai version |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Itching | 24 hours postoperative | Itching score; 0 = no itching, 1= mild itching, 2 = severe itching or needed treatment |
| Postoperative pain | 24 hours postoperative | 11-point Numerical rating score (NRS) pain scale ranging from 0-10, 0= no pain, 10 = severe pain |
| EQ-5D-5L | 24 hours postoperative | Quality of life evaluated by EuroQol group-5 Dimentions-5 levels questionnaire (EQ-5D-5L)- Thai version |
| Nausea and vomiting score | 24 hours postoperative | Nausea and vomiting score; 0 = no symptom, 1= mild symptom nausea and no vomiting, 2 = vomiting 1-2 times, 3 = severe vomiting or needed treatment |
| Length of hospital stay | Through the study completion an average 3-5 days | Length of hospital stay |
| Neonatal weight | Postoperative day 1 and day 3 | The weight of neonate |
| LATCH score | 24 hours postoperative and at the discharge day | LATCH score comprise of 5 components: Latch, Audible swallowing, Type of nipple, Comfort and Hold- each component scored from 0-2, A total of less than 8 is considered unsatisfactory |
Countries
Thailand
Outcome results
None listed