Pregnancy and Childbirth
Conditions
Interventions
Day 5 or 7 days discharge
Sponsors
Dr Onu Fidelis
Dr Mamah Johnbosco
Dr Anikwe Chidebe Christian
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Desire to deliver at any of the study centre facilities. 2. Term singleton pregnancies =37+0 weeks. 3. Patients that had an uncomplicated elective caesarean section. This will be defined as an elective delivery with no significant intra-operative complications such as intrapartum haemorrhage requiring blood transfusion, brace sutures, no history of primary postpartum hemorrhage or visceral injuries. 4. The caesarean sections were performed by at least a senior registrar in the department. 5. No evidence of wound infection such as perioperative site pain, tenderness, redness or discharge. Wound should be healing by primary intention. 6. Patient ambulating and able to sustain ambulation without assistance. 7. Commencement and tolerance of oral feeds up to at least one normal meal in a day. 8. Patient that have completed her parenteral medications including antibiotics and analgesia; and was tolerating oral medications. 9. Patient that are not suffering from any medical or surgical complication during or after the pregnancy. This may include hypertensive diseases of pregnancy, diabetes mellitus, sickle cell disease, anaemia, prolonged rupture of membranes, chorioamnionitis. 10. Patients that show adequate understanding of the study and demonstrate sufficient motivation for follow-up. 11. Optimal recovery from anaesthesia. 12. Residence within the town with accessibility to the hospital.
Exclusion criteria
Exclusion criteria: 1. Non consenting women. 2. Women that have suffered any obstetric complication that may affect the study as listed in the inclusion criteria. 3. Unbooked patients were excluded. This is to minimize confounders. 4. Those who suffered perinatal death were excluded. 5. Abnormal fetuses 6. Two or more previous caesarean section. 7. Antepartum haemorrhage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Patient’s satisfaction with the discharge protocol used. 2.Cost of hospital care during and after admission 3.Rate of readmission or unscheduled medical consultation for any medically/surgically related complaint | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Sustenance of breastfeeding at 6th week postop 2. Willingness to go through same protocol in the next delivery. | — |
Countries
Nigeria
Contacts
Public ContactJohnbosco Mamah
Senior registrar
Outcome results
None listed