Clinical trial NCT05077891: Postpartum Quality of Recovery & Maternal Satisfaction After C/S
Official title: Relationship Between Patient Reported Postpartum Quality of Recovery and Maternal Satisfaction After Cesarean Delivery: A Prospective Observational Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Postpartum Women
Lead sponsor: University of British Columbia
Sponsor class: OTHER
First posted: 2021-10-14
Enrollment: 300
Sex: FEMALE
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All women above the age of 19 years old whom underwent a caesarean section will be eligible to participate. Women will be surveyed at 24 hours after their cesarean section. Data will be collected by means of validated paper questionnaires administered in person by a study investigator that is not part of clinical care.

Brief summary: Measuring patient-oriented outcomes and satisfaction is important to guide meaningful changes in obstetric anesthesia care. Quality of Recovery (QoR) scores are patient rated measures, which provide a global measure of recovery after surgery. They go beyond the measure of physiological variables to include, physical, cognitive, emotive and functional outcomes. Satisfaction, in addition to QoR scores after anaesthesia is an important quality marker. Measuring satisfaction after the birth of a child is a complex and emotive subject. Understanding the factors that can influence maternal satisfaction may improve patient-centred care. Studies have shown that despite favorable clinical outcomes, many women undergoing caesarean deliveries continue to have poor experience with anaesthesia. These poor experiences go beyond inadequate pain control; many are due to poor communication with clinicians, lack of involvement in decision making, lack of provision of high quality education and information and a feeling of inadequate choice and control relating to decisions of the birth of their babies. In non-obstetric studies, satisfaction after anaesthesia has consistently been shown to be dependent on the information patient has received along with the quality of the communication and the quality of the anaesthetist-patient relationship.


Eligibility criteria: Inclusion Criteria:

* Fluent English speaker
* Older than 19 years of age
* Received a cesarean delivery
* Received a cesarean delivery 24-48 hours prior to time of recruitment

Exclusion Criteria:

* Non-English speaker
* Below the age of 19 years
* Did not receive a cesarean delivery
* Received a cesarean delivery more than 48hrs after time of recruitment

Primary outcomes:
measure: Quality of Recovery Score (ObsQoR-11)
timeFrame: 5 Minutes
measure: Maternal Satisfaction Scale for Cesarean Section (MSSCS)
timeFrame: 5 Minutes
measure: Satisfaction with Received Care
timeFrame: 1 Minute
measure: Dissatisfaction with Received Care
timeFrame: 1 Minute
measure: Improvement of Satisfaction
timeFrame: 1 Minute
Secondary outcomes:
measure: Obstetric History: Gravidity and Preterm
timeFrame: 1 Minute
measure: Patient Age
timeFrame: 1 Minute
measure: Gestational Age
timeFrame: 1 Minute
measure: Patient Height
timeFrame: 1 Minute
measure: Patient Weight
timeFrame: 1 Minute
measure: Outcome of Delivery
timeFrame: 1 Minute
measure: Neonatal APGARs
timeFrame: 1 Minute
measure: Neonatal Birthweight
timeFrame: 1 Minute
measure: Patient ASA Status
timeFrame: 1 Minute
measure: Pregnancy Medical Conditions
timeFrame: 1 Minute
measure: Medical Conditions Outside Pregnancy
timeFrame: 1 Minute
measure: Neuraxial Lidocaine
timeFrame: 1 Minute
measure: Neuraxial Bupivicaine
timeFrame: 1 Minute
measure: Neuraxial Morphine
timeFrame: 1 Minute
measure: Neuraxial Fentanyl
timeFrame: 1 Minute
measure: Intraoperative Anxiolytics
timeFrame: 1 Minute
measure: Anesthesia Procedure Start
timeFrame: 1 Minute
measure: Urgency of Cesarean Delivery
timeFrame: 1 Minute
measure: Indication for Cesarean Delivery
timeFrame: 1 Minute
measure: Labour Onset
timeFrame: 1 Minute
measure: Labour Length
timeFrame: 1 Minute
measure: Pain Relief During Labour
timeFrame: 1 Minute
measure: Intraoperative Complications
timeFrame: 1 Minute
measure: Intraoperative Blood Loss
timeFrame: 1 Minute
measure: Postoperative Complications
timeFrame: 1 Minute
Other outcomes:
Locations:
city: Vancouver
country: Canada
facility: BC Women's Hospital
state: British Columbia
Study officials:
affiliation: University of British Columbia
name: Anton Chau, MD MMSc
role: PRINCIPAL_INVESTIGATOR
References:
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