Pain After Cesarean Section - A Danish Multicenter Cohort Study.
- Conditions
- PainCesarean SectionRecovery
- Registration Number
- NCT06012747
- Lead Sponsor
- Nordsjaellands Hospital
- Brief Summary
Pain after a cesarean section is of moderate to severe intensity. A Danish multicenter study from 2021 used an obstetric Quality of Recovery score 24 hours after the cesarean section and found that 45% of 861 patients had experienced very severe pain during recovery.
This result was surprisingly high but also unspecific. Therefore, the investigators aim to investigate the intensity of pain experienced by patients at specific time intervals after the cesarean section e.g., every 6th hour. Additionally, the investigators will examine whether the pain has an impact on important functions for both the patients and the newborns, as well as assess the overall morphine consumption.
All Danish regions have approved the REDCap database as a secure way to collect and store data. REDCap can also send encrypted links that can be converted into SMS messages sent to the participants' mobile phones at fixed intervals, allowing participants to enter data directly into the secure system. The investigators also aim to feasibility test the system.
When a child is delivered by cesarean section, it is an expectation that the mother can take care of herself and the baby a few hours after the surgery. However, severe pain can hinder this. Therefore, it is important to investigate whether pain relief for our patients is sufficient.
Based on response rates and the frequency of outcomes, data from this observational study can support the design of a future national multicenter randomized controlled trial (RCT) with a focus on postoperative pain intervention. The incidences of binary outcome measures and standard deviations of continuous outcome measures will support the sample size calculations for our RCT.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 752
Not provided
Age < 18 years
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Self reported pain on movement from supine position to sitting position after 24 hours, NRS 0-10 24 hours after cesarean section Patient reported
Neonatal admission , within 24 hours yes/no
Composite outcome of self reported morphine side effects occurring within 24 hours For vomiting and urinary retention, this is recorded as yes/no, where yes is considered a side effect. 24 hours after cesarean section consisting of either nausea, dizziness, itching, vomiting, or urinary retention.
Nausea, itching, and dizziness are recorded on a 4-point scale: None, mild, moderate, severe. Where moderate and severe are considered side effects.
For vomiting and urinary retention, this is recorded as yes/no, where yes is considered a side effect.
- Secondary Outcome Measures
Name Time Method See protokol for the multible secondary and exploratory outcomes 0-30 days See protokol for the multible secondary and exploratory outcomes
Trial Locations
- Locations (19)
Department of Anesthesia, Århus University Hospital
🇩🇰Aarhus, Denmark
Department of Anesthesia, Odense University Hospital
🇩🇰Odense, Denmark
Department of anesthesia, Randers Sygehus
🇩🇰Randers, Denmark
Department of Anesthesia, Copenhagen University Hospital, Rigshospitalet
🇩🇰Copenhagen, Denmark
Department of Anesthesia, Aalborg University Hospital
🇩🇰Aalborg, Denmark
Department of Anesthesia, Esbjerg Hospital
🇩🇰Esbjerg, Denmark
Department of Anesthesia, Gødstrup Hospital
🇩🇰Gødstrup, Denmark
Department of Anesthesiology, Copenhagen University Hospital, Herlev
🇩🇰Herlev, Denmark
Department of Anesthesia, Horsens Hospital
🇩🇰Horsens, Denmark
Department of Anesthesiology, Copenhagen university Hospital, Hvidovre
🇩🇰Hvidovre, Denmark
Department of Anesthesiology, Copenhagen University Hospital, North Zealand Hillerød
🇩🇰Hillerød, Denmark
Department of Anesthesia, Hjørring Sygehus
🇩🇰Hjørring, Denmark
Department of Anesthesia, Holbæk Hospital
🇩🇰Holbæk, Denmark
Department of Anesthesia and Intensive care, University Hospital of Southern Denmark, Kolding
🇩🇰Kolding, Denmark
Department of Anesthesia, Nykøbing Falster Hospital
🇩🇰Nykøbing Falster, Denmark
Department of Anesthesia, Zealand University Hospital, Roskilde
🇩🇰Roskilde, Denmark
Department of Anesthesia, Slagelse Hospital
🇩🇰Slagelse, Denmark
Department of Anesthesia, Åbenrå Hospital
🇩🇰Åbenrå, Denmark
Department of Anesthesia,Viborg, Regional Hospital
🇩🇰Viborg, Denmark