Relationship Between Analgesia Techniques and Post-cesarean Recovery Quality

Completed

• Conditions: Quality of Recovery; Cesarean Section

• Registration Number: NCT05181358
• Lead Sponsor: Konya Meram State Hospital

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.

Study Timeline

• Study First Submitted: 2021-12-19
• Study First Submitted QC: 2021-12-19
• Study First Posted: 2022-01-06
• Study Start: 2022-01-24
• Primary Completion: 2022-12-26
• Study Completion: 2022-12-26
• Status Verified: 2023-01
• Last Update Submitted: 2023-01-23
• Last Update Posted: 2023-01-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 180

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Obstetric Quality of Recovery	The first 24 hours postoperatively	Obstetric Quality of Recovery-10 (ObsQoR-10©) Scoring Tool

Trial Locations

Locations (1)

Betul Kozanhan; 🇹🇷 Konya, Turkey