Clinical trial NCT06524713: A 5-Year Anesthetic Evaluation of Cases Undergoing Cesarean Section Delivery ın Our Clinic
Official title: A 5-Year Retrospective Anesthetic Evaluation of Cases Undergoing Cesarean Section Delivery
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Anesthesia
Cesarean Section
Lead sponsor: Kocaeli University
Sponsor class: OTHER
First posted: 2024-07-29
Enrollment: 2500
Sex: FEMALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Observational model: OTHER
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All Pregnant Women Undergoing Cesarean Section at Kocaeli University Hospital between January 1, 2018, and December 31, 2022

Brief summary: Despite global efforts to reduce the rate of cesarean section births worldwide, increase recommendations for elective induction of labor, and promote trials of vaginal birth after previous cesarean deliveries, cesarean rates are steadily rising, varying from country to country.

The management of obstetric patients requires the effective and safe application of anesthesia to anticipate and prevent emergencies, ensuring a positive experience for the mother, baby, and their family.

Neuraxial anesthesia is considered the gold standard for cesarean section births. In case of an emergency cesarean, the likelihood of general anesthesia increases, making the safe provision of anesthesia more challenging.

The choice of anesthesia technique for cesarean section is determined by considering maternal and fetal conditions, accompanying diseases, the urgency of surgery, and the difficulty of procedures.

In this study, the investigators will retrospectively examine the anesthesia records of all cesarean section cases treated in the clinic between 2018 and 2022. the investigators aim to analyze demographic data, the anesthesia methods applied, complications, the relationship between surgery time and anesthetic method, the association between anesthesia method and neonatal Apgar scores, and the type of postoperative analgesia administered in the clinic (including regional anesthesia, opioids, non-steroidal anti-inflammatory drugs if performed). The study will be descriptive in nature, aiming to provide insights into commonly applied methods and management in the researcher's clinic.


Eligibility criteria: Inclusion Criteria:

* All Pregnant Women Undergoing Cesarean Section at Kocaeli University Hospital between January 1, 2018, and December 31, 2022

Exclusion Criteria:

-Ectopic Pregnancy

Primary outcomes:
measure: Evaluating the anesthetic management of cesarean section cases in researcher's clinic.
timeFrame: 2018-2022
measure: Evaluating the anesthetic complications of cesarean section cases in researcher's clinic.
timeFrame: 2018-2022
Secondary outcomes:
Other outcomes:
Locations:
city: Kocaeli
country: Turkey
facility: Kocaeli University
Study officials:
References:
citation: Robson MS. Use of indications to identify appropriate caesarean section rates. Lancet Glob Health. 2018 Aug;6(8):e820-e821. doi: 10.1016/S2214-109X(18)30319-X. No abstract available.
citation: Society of Maternal-Fetal (SMFM) Publications Committee. Electronic address: pubs@smfm.org. SMFM Statement on Elective Induction of Labor in Low-Risk Nulliparous Women at Term: the ARRIVE Trial. Am J Obstet Gynecol. 2019 Jul;221(1):B2-B4. doi: 10.1016/j.ajog.2018.08.009. Epub 2018 Aug 9.
citation: Van de Velde M. Anaesthesia for caesarean section. Curr Opin Anaesthesiol. 2001 Jun;14(3):307-10. doi: 10.1097/00001503-200106000-00004.