Quality of Recovery From Obstetric Anaesthesia - a Multicentre Study

Quality of Recovery From Obstetric Anaesthesia - a Multicentre Study

Quality of recovery is an important outcome measure in anaesthesia, whilst there are validated tools for this in surgery and regional anesthesia there are no fully validated tools for obstetrics anaesthesia. The aim of this study is to use the Obstetric Quality of Recovery (ObsQoR) score across multiple centres to assess correlation to length of stay and variation for different types of operative and non- operative delivery.

An observational survey based study, for 3 consecutive week days, chosen by the local investigating team during a two-week period across multiple centres.

• Local investigators will complete the survey with each patient who has received anaesthetic intervention from an anaesthetist, 1 day, around 24hrs after delivery in line with their routine anaesthetic follow up.
• At 30 days, a telephone survey will be conducted with each patient to repeat the ObsQoR survey and ask key questions regarding functional recovery and activities of daily living post delivery.

In addition for a small number of sites, elective caesarean delivery patients will have blood taken at the point of anaesthesia and 24 hours post delivery to assess the immune function and any changes which may predict poorer outcome in these women.

Inclusion Criteria:

• Obstetric patients over 18 years old.
• Intervention occurring after 32/40 gestation.
• All mothers receiving anaesthesia or anaesthetic analgesia during their peripartum period.

Exclusion Criteria:

• Unable to comprehend the questions asked
• Patient refusal
• Under 32/40 weeks gestation
• Cervical cerclage insertion or removal, anaesthesia for External Cephalic Verison
• Neonatal death
• Non- NHS patients