Clinical trial NCT05416541: Uncontrolled Disinformation About Regional Anesthesia and Pregnant Patients.
Official title: Uncontrolled Disinformation About Regional Anesthesia From Social Media, and the Effect on the Pregnant Patients Decisions.
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Regional Anesthesia
Anxiety
Social Media Addiction
Spinal Anesthesia
Fear Anxiety
Keywords: social media
anxiety
regional anesthesia
Lead sponsor: Ankara City Hospital Bilkent
Sponsor class: OTHER
First posted: 2022-06-13
Enrollment: 250
Sex: FEMALE
Minimum age (years): 16
Maximum age (years): 45
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: caesarian section ASA I-II, who speaks and writes Turkish patients

Brief summary: Nowadays, hundreds of information about regional anesthesia are accessed from any internet search engine when a question is written about the methods of anesthesia that can be applied during C/S. This information may have positive or negative effects on the patient, as well as include uncontrolled, unsupervised comments, articles and images. Our aim is primarily to evaluate whether our patients are exchanging information via social media or the internet and the effects of these shares on their concerns.

Detailed description: Social media has become a place to receive and share information today, especially for women of childbearing age. according to a study published in 2019, 78% of social media users are women and 80% of them are in the 18-40 age range. Again, studies have shown that women often use a large number of alternative platforms to receive or share information about pregnancy and parenting.

It has been shown that there are 3 different reasons why patients follow medical content on social media. Behaviorally, patients can be self-healing with the information they receive; cognitively, the search for information about their own condition and the desire to understand their condition is the desire to be able to share common feelings with other people who are in the same situation emotionally.

Anxiety develops in the preoperative period in 21-25% of cesarean section patients. This anxiety response can cause premature and low birth weight baby birth by vasoconstricting the uterine artery through the autonomic central nervous system.

It is common for pregnant women who already have concerns before the cesarean section that will take place to look for information about both the surgery and the anesthesia method that will be applied. Studies including patients who were watched preoperative anesthesia videos about the anesthesia technique, has showed low anxiety levels. However, this videos were custom made videos by the organizations such as hospitals, universities.

Nowadays, hundreds of information about regional anesthesia are accessed from any internet search engine when a question is written about the methods of anesthesia that can be applied during C/S. This information may have positive or negative effects on the patient, as well as include uncontrolled, unsupervised comments, articles and images. Our aim is primarily to evaluate whether our patients are exchanging information via social media or the internet and the effects of these shares on their concerns

Eligibility criteria: Inclusion Criteria:

* ASA I-II, who speaks and writes Turkish

Exclusion Criteria:

* psychiatric illness

Primary outcomes:
measure: social media effect on the anesthesia choice
timeFrame: were performed before the operation when the patient hospitalized.
measure: social media and patient anxiety about anesthesia and surgery
timeFrame: before the operation when the patient hospitalized.
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Aygün Güler
state: Type A Choice Below ...
city: Ankara
country: Turkey
facility: Ankara City Hospital
Study officials:
affiliation: Ankara City Hospital Bilkent
name: namık nebi ozcan
role: STUDY_CHAIR
References:
citation: Asiodu IV, Waters CM, Dailey DE, Lee KA, Lyndon A. Breastfeeding and use of social media among first-time African American mothers. J Obstet Gynecol Neonatal Nurs. 2015 Mar-Apr;44(2):268-78. doi: 10.1111/1552-6909.12552. Epub 2015 Feb 24.
citation: Gleeson DM, Craswell A, Jones CM. Women's use of social networking sites related to childbearing: An integrative review. Women Birth. 2019 Aug;32(4):294-302. doi: 10.1016/j.wombi.2018.10.010. Epub 2018 Dec 31.
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citation: Field T. Prenatal anxiety effects: A review. Infant Behav Dev. 2017 Nov;49:120-128. doi: 10.1016/j.infbeh.2017.08.008. Epub 2017 Sep 5.
citation: Perkin MR, Bland JM, Peacock JL, Anderson HR. The effect of anxiety and depression during pregnancy on obstetric complications. Br J Obstet Gynaecol. 1993 Jul;100(7):629-34. doi: 10.1111/j.1471-0528.1993.tb14228.x.
citation: Che YJ, Gao YL, Jing J, Kuang Y, Zhang M. Effects of an Informational Video About Anesthesia on Pre- and Post-Elective Cesarean Section Anxiety and Recovery: A Randomized Controlled Trial. Med Sci Monit. 2020 Apr 8;26:e920428. doi: 10.12659/MSM.920428.