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This study concerns cesarean sections, category 1, meaning those cases where the life of mother and/or fetus is in immedeate danger and the child must be delivered within 15 minutes from activating the cesarean section team. In most hospitals in Denmark, these cesarean sections are most often performed in general anesthesia and the mother is endotracheally intubated.
Previously in these situations, as the mother was rushed from the Labour Ward to the operation room (OR), her spouse/partner, would be placed outside the operating room (OR), and would stay there until the child had been delivered.
In Lillebaelt Hospital, Kolding, Denmark, the newborn-resuscitation table is placed inside the OR. The father would most often be allowed to enter the OR when the child was delivered and placed on the resuscitation table (no matter the status of the child).
However, during spring 2021, Lillebaelt Hospital Kolding updated the policy regarding the handling of the father/partner during cesarean section category 1. Now the father/partner is present in the OR during the whole procedure, including induction of general aesthesia, endotracheal intubation, performance of the cesarean section (drapings are positioned so that the father cannot see the operation field) and potential resuscitation efforts of the newborn.
In another hospital in the same region (Region of Southern Denmark), Aabenraa Hospital, the father is not present in the OR during the cesarean section. He waits in the labour ward.
The investigators therefore wish to investigate how the cesarean section category 1 is experienced by: the father/partner; the mother; the obstetrician; the anestesiologist; the midwife; the OR nurse; the anesthetic nurse, both in Kolding where the father/partner is present in the OR, and in Aabenraa, where the father/partner is not present in the OR during the cesarean sectio.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Father/partner present, Kolding hospital | All father/partners, mothers and hospital staff involved in hyperacute cesarean section category 1 in general anesthesia (obstetrician, anesthesiologist, OR-nurse, midwife, anesthetic nurse, pediatrician) in Kolding Hospital, where the father is present in the OR during the cesarean section category 1 |
| |
| Father/partner not present, Aabenraa hospital | All father/partners and mothers involved in hyperacute cesarean section category 1 in general anesthesia in Aabenraa hospital, where the father is not present in the OR during the cesarean sectio category 1. All relevant hospital staff, who sometimes participates in cesarean sectio category 1 (obstetrician, anesthesiologist, OR-nurse, midwife, anesthetic nurse, pediatrician) will be asked to fill in a questionnaire on their thoughts and opinions on having the father/partner present during hyperacute cesarean sectio category 1. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prescence of the father during cesarean section in general anesthesia | Other | The father is now present in the OR during cesarean section category 1, instead of waiting outside |
|
| Measure | Description | Time Frame |
|---|---|---|
| Father/partners experience | Father/partners experience of being present or not in the OR during the hyperacute cesarean section category 1, described by questionnaire, semi-structured interview and PTSD-screening | 1-2 days after the cesarean section combined with assessment of change from baseline in father/partners experience at 3 months after the cesarean sectio |
| Measure | Description | Time Frame |
|---|---|---|
| Mothers experience | Mothers experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components | 1-2 days after the cesarean section |
| Surgeons (obstetricians) experience |
| Measure | Description | Time Frame |
|---|---|---|
| Obstetric complications | Perforation of bladder or bowel, bleeding > 1000 ml, infection, need for transfusion | Up to 1 week after the cesarean section |
| Anesthetic complications | Esophageal intubation, difficult airway management |
Inclusion Criteria:
Exclusion Criteria:
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All mothers and father/partners who experiences a cesarean section category 1 in Kolding Hospital, Denmark.
All mothers and father/partners who experiences a cesarean section category 1 in Aabenraa Hospital, Denmark
Hospital staff (obstetricians, anesthesiologists, pediatricians, midwifes, OR-nurses, anesthetic nurses) in Kolding and Aabenraa hospital, who participate in cesarean sectio category 1.
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| Name | Affiliation | Role |
|---|---|---|
| Hanne I Jensen, Professor | University Hospital of Southern Denmark, Kolding | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aabenraa Hospital | Aabenraa | 6200 | Denmark | |||
| Helene K. Nedergaard |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37891124 | Derived | Nedergaard HK, Weitling EE, Rahbech M, Froslev-Friis C, Quitzau LH, Strom T, Brochner AC, Jensen HI. Presence of the partner in the operating room during a category 1 cesarean section: a prospective explorative study. Int J Obstet Anesth. 2024 Feb;57:103939. doi: 10.1016/j.ijoa.2023.103939. Epub 2023 Oct 10. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| SAP | No | Yes | No | Statistical Analysis Plan | Mar 1, 2022 | Apr 5, 2022 | SAP_000.pdf |
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| ID | Term |
|---|---|
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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Surgeons experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components |
| Up to 2 weeks after the cesarean section |
| Anesthesiologists experience | Anesthesiologists experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components | Up to 2 weeks after the cesarean section |
| Midwifes experience | Midwifes experience of the father/partner being present or not in the OR during the acute cesarean section category 1, described quantitatively with possibility for qualitative components | Up to 2 weeks after the cesarean section |
| OR nurses experience | OR nurses experience of the father being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components | Up to 2 weeks after the cesarean section |
| Anesthetic nurses experience | Anesthetic nurses experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components | Up to 2 weeks after the cesarean section |
| Pediatricians experience | Pediatricians experience of the father/partner being present or not in the OR during the hyperacute cesarean section category 1, described quantitatively with possibility for qualitative components | Up to 2 weeks after the cesarean section |
| During cesarean section |
| Neonatal complications | Low APGAR-score, need for resuscitation, need for intubation, need for transfusion | During cesarean section |
| Kolding |
| 6000 |
| Denmark |