Cesarean Section, Postoperative Pain, Postoperative Recovery
Conditions
Keywords
Enhanced Recovery After Cesarean Delivery, ERAC, Obstetric Quality of Recovery, ObsQoR-10, Spinal Anesthesia, Maternal Recovery, Preoperative Anxiety
Brief summary
This prospective observational study will evaluate whether adherence to enhanced recovery after cesarean delivery protocols is associated with postoperative recovery quality in women undergoing elective cesarean delivery under spinal anesthesia. A total of 150 participants will be enrolled. Recovery quality will be assessed using the Turkish version of the Obstetric Quality of Recovery-10 questionnaire at 24 hours after surgery. Pain, opioid use, nausea, mobilization, oral intake, breastfeeding, and patient satisfaction will also be evaluated.
Interventions
OTHERAssessment of Enhanced Recovery Protocol Compliance
Adherence to routinely implemented enhanced recovery after cesarean delivery components will be assessed during the preoperative, intraoperative, and postoperative periods. Each completed component will receive one point, and overall adherence will be calculated as a percentage. No additional interventions will be administered.
Sponsors
Bursa City Hospital
Ulusoy, Emre, M.D.
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 or older * Scheduled for elective cesarean delivery * Planned spinal anesthesia * American Society of Anesthesiologists physical status II or III * Ability to read and understand Turkish * Provision of written informed consent
Exclusion criteria
* Emergency cesarean delivery * General anesthesia or conversion from spinal to general anesthesia * Major obstetric hemorrhage * Requirement for postoperative intensive care * Chronic opioid use * Chronic pain syndrome * Severe psychiatric disease * Severe neurological disease * Inability to communicate * Cognitive impairment preventing completion of study questionnaires * Refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Obstetric Quality of Recovery-10 Score | 24 hours after cesarean delivery | Postoperative recovery quality will be assessed using the Turkish version of the Obstetric Quality of Recovery-10 questionnaire. Total scores range from 0 to 100, with higher scores indicating better recovery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Enhanced Recovery Protocol Compliance | From the preoperative assessment to 24 hours after cesarean delivery | Overall compliance with enhanced recovery protocol components will be calculated as the percentage of completed preoperative, intraoperative, and postoperative components. |
| Postoperative Pain Intensity | In the recovery unit and at 2, 6, 12, and 24 hours after cesarean delivery | Pain intensity will be assessed using the Numeric Rating Scale, ranging from 0 to 10, with higher scores indicating greater pain intensity. |
| Rescue Opioid Requirement | During the first 24 hours after cesarean delivery | The number of participants requiring rescue opioid medication after cesarean delivery will be recorded. |
| Total Amsterdam Preoperative Anxiety and Information Scale Score | Before cesarean delivery | The overall Amsterdam Preoperative Anxiety and Information Scale score will be calculated. Scores range from 6 to 30, with higher scores indicating greater anxiety and information needs. |
| Length of Hospital Stay | From cesarean delivery until hospital discharge, assessed up to 7 days | Duration of hospital stay from the completion of cesarean delivery until formal hospital discharge, measured in hours. |
| Preoperative Information Requirement | Before cesarean delivery | Preoperative information needs will be evaluated using the information subscale of the Amsterdam Preoperative Anxiety and Information Scale. Scores range from 2 to 10, with higher scores indicating greater information needs. |
| Preoperative Anxiety | Before cesarean delivery | Preoperative anxiety will be evaluated using the anxiety subscale of the Amsterdam Preoperative Anxiety and Information Scale. Scores range from 4 to 20, with higher scores indicating greater anxiety. |
Countries
Turkey (Türkiye)
Contacts
CONTACTemre ulusoy, MD
Outcome results
None listed