Clinical trial NCT05181358: Relationship Between Analgesia Techniques and Post-cesarean Recovery Quality
Official title: Evaluation of the Relationship Between Different Postoperative Analgesia Techniques and Post-cesarean Quality of Recovery; Prospective Observational Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Quality of Recovery
Cesarean Section
Keywords: Quality of recovery
ObsQoR-10
regional analgesia
Lead sponsor: Konya Meram State Hospital
Sponsor class: OTHER
First posted: 2022-01-06
Enrollment: 180
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 47
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Term obstetric patients who underwent elective cesarean section under spinal anesthesia

Brief summary: The question remains whether the patients in whom USG-guided regional anesthesia and analgesia techniques are applied have a better recovery score than subarachnoid morphine administration, which is considered the gold standard. The primary aim of this study is to evaluate the quality of recovery score using the Obstetric Recovery Quality Score-ObsQoR-10 questionnaire experienced by the patients who underwent elective cesarean section and compare the results of different regional anesthesia techniques with subarachnoid morphine.

Detailed description: National and international guidelines, hospital protocols, the anesthesiologist's experience, and the patient's decision play a role in selecting the technique used for postoperative analgesia after cesarean section. The quality of recovery score experienced following elective cesarean section in a total of 180 patients over one year (December 31, 2021-2022) who applied subarachnoid morphine, lateral TAP block, posterior-TAP block, QL block, ESP block, and TFD block (30 patients for each technique) will be evaluated with the ObsQoR-10 questionnaire 24 hours after delivery. The regional anesthesia techniques information applied to the patients will be obtained from the patient file. Researchers will not perform any interventional procedure, and any randomization will not be applied. After the data collection process for the study is completed, ObsQoR-10 will be compared statistically. The secondary aims of this study are to compare the cases in terms of postoperative analgesia and antiemetic requirements, first food intake and standing up without support, and patient satisfaction.

Eligibility criteria: Inclusion Criteria:

* Term obstetric patients aged 18-47 years who underwent elective cesarean section under spinal anesthesia and applied regional anesthesia techniques such as lateral TAP, posterior-TAP, QL, ESP, and TFD blocks or subarachnoid morphine.

Exclusion Criteria:

* Patients with psychiatric disorders
* Patients requiring emergency cesarean section.
* Patients with additional obstetric pathology (such as placenta previa, preeclampsia, DM)
* The need for intensive care in the mother or newborn at the end of the birth.
* Patients who have undergone general anesthesia.
* Preterm pregnants

Primary outcomes:
measure: Obstetric Quality of Recovery
timeFrame: The first 24 hours postoperatively
Secondary outcomes:
Other outcomes:
Locations:
city: Konya
country: Turkey
facility: Betul Kozanhan
Study officials:
References: