Investigating the Quality of Recovery After Childbirth
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Quality of Life
- Sponsor
- KK Women's and Children's Hospital
- Enrollment
- 122
- Locations
- 1
- Primary Endpoint
- Change of ObsQoR-10-Chinese after 60 mins
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
In this proposed study, the investigators hope to assess the quality of recovery after delivery in a local population that would take into account physiological and psychological parameters to better understand the recovery process after delivery. The investigators will identify risk factors, especially those that are modifiable and associated with a poorer ObsQoR score and hence a poor quality of recovery after delivery. This data may then be used to educate women and manage expectations in the postpartum period, and help develop potential therapeutic interventions.
Detailed Description
Traditional postpartum outcome measures do not describe the patient experience or quality of recovery (QoR) after childbirth. A recent obstetric-specific recovery tool (ObsQoR-10) has been developed to assess the quality of recovery in patients in various mode of delivery on aspects of pain, drug side effects, comfort, control, ability to hold and feed the baby, independent mobilization and achievement of personal hygiene. However, this questionnaire is not yet validated in Asian population, especially in Chinese- and Malay-speaking patients. The investigators aim to investigate the validity, reliability, feasibility, and responsiveness of the Chinese and Malay translated versions of ObsQoR-10. The investigators will first perform a pre-test in 5-10 patients for each language, of which an interview will be conducted to seek for their feedback and suggestions. Modification of questionnaire will be done if necessary, followed by recruitment of 112 patients at postpartum day 1 to fill in the Chinese/Malay translated ObsQoR-10 and other questionnaires related to their mood, anxiety and pain. In this proposed study, the investigators hope to assess the quality of recovery after delivery in a local population that would take into account physiological and psychological parameters to better understand the recovery process after delivery. The investigators will identify risk factors, especially those that are modifiable and associated with a poorer ObsQoR score and hence a poor quality of recovery after delivery. This data may then be used to educate women and manage expectations in the postpartum period, and help develop potential therapeutic interventions.
Investigators
Sng Ban Leong
Head of Department, Women's Anaesthesia
KK Women's and Children's Hospital
Eligibility Criteria
Inclusion Criteria
- •Aged 21-50 years old;
- •Able to read and understand written Chinese;
- •Primiparous and having singleton pregnancy;
- •Delivered via spontaneous vaginal delivery, or elective cesarean delivery;
- •≥38 gestational week.
Exclusion Criteria
- •Failed neuraxial analgesia in those receiving elective cesarean delivery;
- •General anaesthesia;
- •Intrapartum cesarean delivery;
- •Women whose infants have died;
- •Mother or baby requiring ICU after delivery;
- •Assisted/ operative vaginal delivery.
Outcomes
Primary Outcomes
Change of ObsQoR-10-Chinese after 60 mins
Time Frame: Postpartum day 1; 1 day
Repeat of ObsQoR-10-Chinese at 60 mins after the first postpartum day 1 ObsQoR-10-Chinese and its correlation to the previous hour ObsQoR-10-Chinese (test-retest reliability)
Change of ObsQoR-10-Malay after 60 mins
Time Frame: Postpartum day 1; 1 day
Repeat of ObsQoR-10-Malay at 60 mins after the first postpartum day 1 ObsQoR-10-Malay and its correlation to the previous hour ObsQoR-10-Malay (test-retest reliability)
Secondary Outcomes
- Correlation between ObsQoR-10-Chinese and global health status(Postpartum day 1; 1 day)
- Correlation between ObsQoR-10-Malay and global health status(Postpartum day 1; 1 day)
- Correlation between ObsQoR-10-Chinese and recovery(Postpartum day 1; 1 day)
- Correlation between ObsQoR-10 and acute pain scores(Postpartum day 1; 1 day)
- Correlation between ObsQoR-10 and breastfeeding self-efficacy(Postpartum day 7; 1 day)
- Time on the use of ObsQoR-10(Postpartum day 1; 1 day)
- Correlation between ObsQoR-10-Malay and recovery(Postpartum day 1; 1 day)
- Correlation between ObsQoR-10 and length of hospital stay(Postpartum day 1; 1 day)
- Correlation between ObsQoR-10 and postnatal depressive symptoms(Postpartum day 7; 1 day)