Evaluation of the Relationship Between Obstetric Comorbidity Index and Obstetric Quality of Recovery Score

Study Overview
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Brief Summary
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The goal of this prospective observational study is to learn about the correlation between obstetric comorbidity index and obstetric quality of recovery score in pregnant patients who undergo cesarean section. The main question aims to answer are: Are there a correlation between the obstetric comorbidity index and the obstetric quality of recovery score? Can we predict the postoperative quality of recovery by calculating the obstetric comorbidity index before delivery? What is the relationship between these scores with the type of anaesthesia given? Participants will answer an 11-question assessment scale to evaluate their recovery of quality in the postpartum period.

Detailed Description
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After the approval of the ethics committee and the written informed consent of the patients, the patients who are meeting the criteria of inclusion will be included in the study. The demographic data, type of anaesthesia, intraoperative haemorrhage, length of hospital stay and intensive care unit stay(if applicable), the urgency category of the cesarean section, and complications will be recorded. patients will be evaluated with obstetric quality of recovery assessment score on postpartum 1st and 2nd days

Official Title
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Evaluation of the Relationship Between Obstetric Comorbidity Index and Obstetric Recovery Quality Score in Patients Who Undergo Operative Delivery

Conditions
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Quality of Life, Obstetric Complication, Cesarean Section Complications, Comorbidities and Coexisting Conditions, Obstetric Anesthesia Problems

Intervention / Treatment
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* Other: Obstetric Quality of recovery score


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant women who are admitted for Cesarean section > 18 years old Speaking Turkish or English Agreeing to participate in the study Exclusion Criteria: Pregnant women < 18 years old Can not speak Turkish or English Not agreeing to participate in the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients who undergo cesarean section<br>Obstetric comorbidity index will be calculated for all patients, obstetric quality of recovery score will be evaluated in postpartum period( on the first and second day postpartum) | Other: Obstetric Quality of recovery score<br>* Patients' quality of recovery will be evaluated with Obstetric Quality of recovery score (ObsQoR-11) on postpartum day 1 and day 2.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The correlation between Obstetric comorbidity index (OBCMI) and Obstetric Quality of Recovery score(ObsQoR-11) on postpartum 1st day | Obstetric comorbidity index will be calculated before c-section.ObsQoR-11 Questionnaire will be done postoperatively. | each patient will be evaluated on postpartum 1st day | 
| The correlation between Obstetric comorbidity index (OBCMI) and Obstetric Quality of Recovery score(ObsQoR-11) on postpartum 2nd day | Obstetric comorbidity index will be calculated before c-section.ObsQoR-11 Questionnaire will be done postoperatively. | each patient will be evaluated on postpartum 2nd day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of the relationship between type of anaesthesia and OBCMI | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. Obstetric comorbidity index will be calculated before c-section. | each patient will be evaluated on the day of c-section | 
| The relation between Lenght of hospital stay and ObsQoR-11 score on postpartum 1st day | Lenght of hospital stay will be recorded from hospital software.ObsQoR-11 will be evaluated on postpartum 1st day | 2months | 
| The relation between Lenght of hospital stay and ObsQoR-11 score on postpartum 2nd day | Lenght of hospital stay will be recorded from hospital software. ObsQoR-11 will be evaluated on postpartum 2nd day | 2months | 
| The relation between complications and OBCMI | Complications will be recorded. | 2months | 
| The relation between complications and ObsQoR-11 on postpartum 1st day | Complications will be recorded | 2months | 
| The relation between complications and ObsQoR-11 on postpartum 2nd day | Complications will be recorded | 2months | 
| The relation between urgency of cesarean section and OBCMI | C-section category will be evaluated | each patient will be evaluated on the day of c-section | 
| The relation between urgency of cesarean section and ObsQoR-11 score on postpartum 1st day | C-section category will be evaluated | each patient will be evaluated on the day of c-section | 
| The relation between urgency of cesarean section and ObsQoR-11 score on postpartum 2nd day | C-section category will be evaluated | each patient will be evaluated on the day of c-section | 
| The relation between intraoperative hemorrhage and OBCMI | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. | On the day of C-section | 
| The relation between intraoperative hemorrhage and ObsQoR-11 score on postpartum 1st day | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. | On the day of C-section | 
| The relation between intraoperative hemorrhage and ObsQoR-11 score on postpartum 2nd day | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. | The first 2 days postpartum | 
| The relation between postoperative intensive care unit stay and OBCMI | Postoperative intensive care unit need and lenght of stay will be recorded | each patient will be evaluated on the day of c-section | 
| The relation between postoperative intensive care unit stay and ObsQoR-11 score on 1st day | Postoperative intensive care unit need and lenght of stay will be recorded. | each patient will be evaluated on postpartum 1st day | 
| The relation between postoperative intensive care unit stay and ObsQoR-11 score on 2nd day | Postoperative intensive care unit need and lenght of stay will be recorded. | each patient will be evaluated on postpartum 2nd day | 
| Demographic data, previous obstetric history and their relation with OBCMI | Demographic data and previous obstetric history will be recorded in preoperative assessment | On the day of C-section | 
| Demographic data, previous obstetric history and their relation with ObsQoR-11 score on postpartum 1st day | Demographic data and previous obstetric history will be recorded in preoperative assessment | Postpartum 1st day | 
| Demographic data, previous obstetric history and their relation with ObsQoR-11 score on postpartum 2nd day | Demographic data and previous obstetric history will be recorded in preoperative assessment | Postpartum 2nd day | 
| Evaluation of the relationship between type of anaesthesia and ObsQoR-11 score on postpartum 1st day | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. ObsQoR-11 will be evaluated on postpartum 1st day | each patient will be evaluated on postpartum 1st day | 
| Evaluation of the relationship between type of anaesthesia and ObsQoR-11 score on postpartum 2nd day | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. ObsQoR-11 will be evaluated on postpartum 2nd day | each patient will be evaluated on postpartum 2nd day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obstetric comorbidity index, Obstetric Quality of Recovery, Cesarean section, Obstetric Anaesthesia