The Effect of Early Versus Traditional Hospital Discharge on Maternal Outcome for Women Undergoing Elective Cesarean Section
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Ain Shams University
- Enrollment
- 156
- Locations
- 1
- Primary Endpoint
- Rate of maternal hospital revisits
Study Overview
Brief Summary
This study will investigate the effect of early hospital discharge versus traditional one on maternal outcome for women undergoing elective cesarean sections.
aim of the work is to assess rate of maternal hospital revisits after early hospital discharge at 8-12 hours following elective cesarean delivery compared to the current practice of discharge at 24-48 hours postoperatively.
Detailed Description
The effect of early versus traditional hospital discharge on maternal outcome for women undergoing elective cesarean section
Randomized clinical trial
Protocol of a thesis for partial fulfillment of master degree in obstetrics and gynecology
Postgraduate Student: Hebatallah Saad Sedky Mohamed Degree: M.B.B.Ch., faculty of medicine- Alexandria university (2013)
Co-DIRECTOR: Prof. Dr. Ahmed Hamdy Nagiub Abdulrahman Academic Position: professor of Obstetrics and Gynecology Department: faculty of medicine- Ain Shams University
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to 35 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Age between 20 and 35 years
- •Gestational age between 37-42 weeks
- •BMI less than 30 kg/m2
- •Have normal uncomplicated pregnancy
- •Planned lower uterine segment Cesarean section
- •Planned for primigravida or previous one or two Cesarean sections
- •Planned to have spinal anesthesia
- •Cesarean sections without intra-operative complications
- •Accepting to participate in the study
Exclusion Criteria
- •• Emergency Cesarean section
- •Gestational age less than 37 or more than 42 weeks
- •BMI 30 kg/m2 or more.
- •Multiple pregnancies
- •Polyhydraminos
- •Abnormal placenta
- •Premature rupture of membranes
- •Previous abdominal surgeries or uterine surgeries
- •Not more than previous two Cesarean sections
- •Anemia: Hemoglobin level less than 10 g/dl
- •Cesarean section with intraoperative complications
- •General anesthesia
- •Fibroid uterus
- •RH incompatibility ( as there maybe delay of availability of anti-d immunoglobulins)
- •History of complicated pregnancy or delivery
- •Medical disorders(hypertension, diabetes mellitus, cardiac, pulmonary, renal, hepatic, endocrine and autoimmune disorders).
- •Women refusing participating in the study
- •Women having any contraindications or refusing spinal anesthesia
Arms & Interventions
early hospital discharge
women will be discharged early from hospital 12 hours postoperatively after elective cesarean sections.
Intervention: early hospital discharge (Behavioral)
Outcomes
Primary Outcomes
Rate of maternal hospital revisits
Time Frame: one week postoperatively
the aim is to reduce rate of maternal hospital revisits after discharge from the hospital which will be assessed by questionnaire
Secondary Outcomes
- Maternal and family satisfaction,(one week postoperatively)
Investigators
Heba Saad
principle investigator, Ain Shams university
Ain Shams University