Complications following elective Cesarean Section
Conditions
Interventions
*Study setting - De Soysa Maternity Hospital for Women, Colombo
*Randomization method and procedure - Participants will be randomly assigned in to two groups as intervention group and control group,
Sponsors
BSc. Physiotherapy Degree Programme, Department of Allied Health Sciences, Faculty of Medicine, University of Colombo.
Eligibility
Inclusion criteria
Inclusion criteria: • Age between 20 – 40 years • Women who undergo Uncomplicated Category ‘4’ Cesarean delivery under spinal anesthesia, due to obstetric indications such as repeat cesarean delivery, pelvic abnormalities that preclude engagement, malpresentation of fetus, dystocia and elective CS. • Patients who are discharged on the post-operative day 3
Exclusion criteria
Exclusion criteria: * Patients who have undergone two or several C sections or abdominal surgeries previously . * Patients who have complicated obstetric problems such as Diabetes Mellitus, Systemic Lupus Erythematosus, connective tissue disorders. * Patients on maternal sepsis. * Patients on Disease Modifying Anti Rheumatic Drugs (DMARDs) and oral steroids. * Patients who cannot be given with physiotherapy interventions. * Mentally ill patients. * Patients who are in the Intensive Care Unit (ICU). * Deliveries with post-operative complications. * C- sections with general/ epidural anesthesia and using patient controlled anesthesia. * Patients with abdominal hernia. * Patients with DRA (Diastasis Rectus abdominis) larger than 2cm.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The post-operative pain score using the VAS (Visual Analogue Scale for pain assessment). [On the day of discharge. Day 3 of the CS] Additional requirement of analgesics for the pain relief (apart from routine standard protocol) using the medical records. On the day of discharge [On the day of discharge. Day 3 of the CS] The length of hospital stay using the medical records. On the day of discharge [On the day of discharge. Day 3 of the CS] [] [] [ ] [] [ ] [ ] [] [] [] [] [ ] [] [] [ ] [] [ ] [ ] [] [] [ ] [ ] [ ] [ ] [ ] [] [] [] [] [] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [] [ ] [] [ ] [] [] [ ] [ ] [] [] [] [ ] [ ] [ ] [] [] [] [ ] [ ] [ ] [ ] [] [] [] [ ] [] [ ] [] [] [] [] [] [] [] [] [] [ ] [ ] [] [ ] [] [ ] [ ] [] [ ] | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of post-natal life of both groups using Short Form Health Survey tool (SF-36)- Self-administered questionnaire. [After 6 weeks of the Cesarian Section.] | — |
Countries
Sri Lanka
Contacts
Public ContactKalani Weerasinghe
University student
Outcome results
None listed