In this study, we would introduce and evaluate an enhanced recovery programme designed by a multidisciplinary team for patients undergoing elective CS in our tertiary obstetric unit.
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
voortplantingsstelsel keizersnede
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- Pain measured by a numeric rating scale (NRS)
- Use of pain medication
- Patient satisfaction measured by a numeric rating scale (NRS)
- Length of hospital stay
Secondary outcome
- operative details
- the number of readmissions
- postoperative complications (bleeding, wound infection, urinary infection,
urinary retention, thrombosis)
Background summary
Caesarean section (CS) is one of the commonest surgical procedures and most
patients are discharged at least two days post-surgery [6]. CS is associated
with prolonged hospital stay in comparison to spontaneous birth and the
majority of women remain in hospital for at least two days after a planned CS
procedure [3].
The widespread adoption of enhanced recovery (ER) programmes in various
surgical specialties had resulted in patient benefits including reduced
morbidity, reduced length of stay and an earlier return to normal activities.
Although very few obstetric units currently practise enhanced recovery (ER) for
obstetric surgery, there is widespread interest and support for it. Moreover,
along with the increased financial pressures many units have considered
introducing such a programme for obstetric surgery. The aim of enhanced
recovery is to optimise multiple aspects of patient care to improve recovery
and so facilitate earlier discharge [1,6]. Until recently there has been little
interest in ER for obstetric surgery. However, next-day discharge is in keeping
with National Institute for Health and Care Excellence (NICE) guidance and the
young and fit obstetric patient population has many characteristics that should
make implementation beneficial [6].
According to Wrench et al., the proportion of women discharged on day 1
increased from 1.6% to 25.2% after introducing an ER programme [6].
Furthermore, application of ER programmes after caesarean delivery is
associated with improved maternal satisfaction and more positive feelings
toward the relationship with the new-born [4].
Study objective
In this study, we would introduce and evaluate an enhanced recovery programme
designed by a multidisciplinary team for patients undergoing elective CS in our
tertiary obstetric unit.
Study design
Observational study
Study burden and risks
Allowing patients to go home the day after an elective CS is supported by
recommendations from the Nation Institute for Health and Care Excellence (NICE)
guidance [2]. Early discharged from hospital and follow-up at home is not
associated with more infant or maternal readmissions.
All participants fill out short questionnaires at two different intervals, 24
hours and 1 week after the caesarean section. No extra visit to the hospital is
needed.
Waterlozestraat 91A
Hasselt 3500
NL
Waterlozestraat 91A
Hasselt 3500
NL
Listed location countries
Age
Inclusion criteria
Women planned for a caesarean section
Exclusion criteria
- Women who do not speak Dutch
- Women younger than 25 years
- Women with a history of a midline laparotomy
- Women with deep invasive endometriosis
- Women with contra-indications for opioids
- Total blood loss of 1000cc or more during surgery
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL69340.015.19 |