Fast-track Discharge After Elective Cesarean Section
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 142
- 试验地点
- 2
- 主要终点
- Parents' Postnatal Sense of Security
研究概览
简要总结
Cesarean section (CS) is a procedure with prolonged hospital stay compared to the routine for normal vaginal delivery in multiparas. The difference is caused mainly by postoperative pain but improvements in management of pain may change this situation and make early discharge possible. However, several aspects need to be considered.
The aim of this project is to evaluate fast-track discharge for multiparas after elective CS concerning neonatal and maternal complications as well as the parents' sense of security and well-being.
The study is a randomized controlled trial including 142 women allocated to either 1) the intention to discharge within 28 hours followed by a home visit or 2) standard discharge after at least 48 hours after elective CS.
This study will be among the first evaluating fast-track discharge after CS in a European context. If a positive outcome is achieved, we expect that fast-track discharge can be implemented with improved quality and reduced costs in postnatal care following elective CS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Planned elective CS of multiparous women
- •Singleton pregnancy
- •Gestational age at least 37+0 weeks
- •Prepregnancy BMI <35
排除标准
- •Lack of consent
- •Women with no or little understanding of and ability to speak Danish
- •Expected maternal or neonatal complications after delivery
结局指标
主要结局
Parents' Postnatal Sense of Security
时间窗: Measured one week after delivery
Using the validated PPSS-questionaire
次要结局
- Breastfeeding(6 months after delivery)
- Pain scores(During the first week postpartum)
- Use of analgesia(During the first week postpartum)
- Complications in the postnatal period(28 days postpartum)
- Contacts to the health care system(28 days postpartum)
- Mobilization(5 days postpartum)
- Readmissions(28 days postpartum)
- Surgical complications(28 days postpartum)
研究者
Anne Kruse
MD
Herning Hospital