Sleep Quality After Cesarean Delivery

Study Overview
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Brief Summary
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Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Poor sleep quality also brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.

Detailed Description
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Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Postoperative pain after cesarean delivery can be found as high as 70 percent in the first postoperative pain. Also, the side effect of anesthetic may cause poor sleep quality such as itching, nausea, and vomiting. Poor sleep quality brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. The data on obstetric patients sleep quality in the early postoperative period is scarce. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.

Official Title
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Sleep Quality After Cesarean Delivery Under Spinal Anesthesia With Intrathecal Morphine and Related Factors

Conditions
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Cesarean Section Complications, Sleep Disturbance, Perioperative Complication

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age >,= 18 years, undergoing cesarean delivery Receive spinal anesthesia with local anesthetic drug and intrathecal morphine Understand Thai Exclusion Criteria: Patients receive epidural block or nerve block Patients require conversion to general anesthesia with any reasons Patients require endotracheal intubation with any reasons Patients admit to intensive care unit in postoperative period Patients with the end of operation at the time 24.00-6.00 AM

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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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sleep quality | Sleep quality at the first postoperative day evaluated by Richard Campbell Sleep Questionaire- Thai version | 24 hours postoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nausea and vomiting score | Nausea and vomiting score; 0 = no symptom, 1= mild symptom nausea and no vomiting, 2 = vomiting 1-2 times, 3 = severe vomiting or needed treatment | 24 hours postoperative | 
| Itching | Itching score; 0 = no itching, 1= mild itching, 2 = severe itching or needed treatment | 24 hours postoperative | 
| Postoperative pain | 11-point Numerical rating score (NRS) pain scale ranging from 0-10, 0= no pain, 10 = severe pain | 24 hours postoperative | 
| EQ-5D-5L | Quality of life evaluated by EuroQol group-5 Dimentions-5 levels questionnaire (EQ-5D-5L)- Thai version | 24 hours postoperative | 
| LATCH score | LATCH score comprise of 5 components: Latch, Audible swallowing, Type of nipple, Comfort and Hold- each component scored from 0-2, A total of less than 8 is considered unsatisfactory | 24 hours postoperative and at the discharge day | 
| Length of hospital stay | Length of hospital stay | Through the study completion an average 3-5 days | 
| Neonatal weight | The weight of neonate | Postoperative day 1 and day 3 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cesarean delivery, sleep quality, Perioperative complication