Acute Pain, Cesarean Section, Postoperative Pain After Cesarean Section
Conditions
Keywords
Cesarean Delivery, Spinal Anesthesia, Postoperative Pain, Severe Pain, Pain Predictors, Preoperative Anxiety
Brief summary
This prospective observational study aims to identify predictors of severe postoperative pain during the first 24 hours after elective cesarean delivery under spinal anesthesia. Preoperative, intraoperative, and postoperative factors will be evaluated to determine their association with severe postoperative pain.
Interventions
OTHERObservational Assessment of Postoperative Pain
Participants will receive routine spinal anesthesia and standard perioperative care for elective cesarean delivery. Preoperative, intraoperative, and postoperative variables will be recorded without any study-specific intervention.
Sponsors
Bursa City Hospital
Ulusoy, Emre, M.D.
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Pregnant women aged 18-45 years. * Elective cesarean delivery under spinal anesthesia. * Ability to understand Turkish. * Written informed consent.
Exclusion criteria
* Emergency cesarean delivery. * Conversion to general anesthesia. * Major obstetric hemorrhage. * Intensive care requirement. * Chronic opioid use. * Severe psychiatric or neurological disease. * Inability to communicate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Severe Postoperative Pain | Within 24 hours after surgery | Severe postoperative pain will be defined as a Numerical Rating Scale score of 6 or higher. The scale ranges from 0 to 10, with higher scores indicating greater pain intensity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preoperative Anxiety Score | Before surgery | Preoperative anxiety will be assessed using the Amsterdam Preoperative Anxiety and Information Scale anxiety subscale. Scores range from 4 to 20, with higher scores indicating greater anxiety. |
| Preoperative Information Requirement Score | Before surgery | Information requirements will be assessed using the Amsterdam Preoperative Anxiety and Information Scale information subscale. Scores range from 2 to 10, with higher scores indicating greater information needs. |
| Expected Postoperative Pain | Before surgery | Expected postoperative pain will be assessed using a Numerical Rating Scale ranging from 0 to 10, with higher scores indicating greater expected pain. |
| Intraoperative Visceral Pain | During surgery | The proportion of patients who experience visceral pain during cesarean delivery under spinal anesthesia will be recorded as a binary outcome (Yes/No). |
| Incidence of Intraoperative Shoulder Pain | During surgery | The proportion of patients who experience shoulder pain during cesarean delivery under spinal anesthesia will be recorded as a binary outcome (Yes/No). |
| Incidence of Intraoperative Hypotension | During surgery | The occurrence of hypotension during cesarean delivery under spinal anesthesia will be recorded. |
| Intraoperative Vasopressor Requirement | During surgery | The requirement for vasopressor administration during cesarean delivery under spinal anesthesia will be recorded. |
Countries
Turkey (Türkiye)
Contacts
CONTACTemre ulusoy, MD
Outcome results
None listed