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The goal of this prospective observational study is to learn about the correlation between obstetric comorbidity index and obstetric quality of recovery score in pregnant patients who undergo cesarean section. The main question aims to answer are:
After the approval of the ethics committee and the written informed consent of the patients, the patients who are meeting the criteria of inclusion will be included in the study. The demographic data, type of anaesthesia, intraoperative haemorrhage, length of hospital stay and intensive care unit stay(if applicable), the urgency category of the cesarean section, and complications will be recorded. patients will be evaluated with obstetric quality of recovery assessment score on postpartum 1st and 2nd days
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients who undergo cesarean section | Obstetric comorbidity index will be calculated for all patients, obstetric quality of recovery score will be evaluated in postpartum period( on the first and second day postpartum) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Obstetric Quality of recovery score | Other | Patients' quality of recovery will be evaluated with Obstetric Quality of recovery score (ObsQoR-11) on postpartum day 1 and day 2. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The correlation between Obstetric comorbidity index (OBCMI) and Obstetric Quality of Recovery score(ObsQoR-11) on postpartum 1st day | Obstetric comorbidity index will be calculated before c-section.ObsQoR-11 Questionnaire will be done postoperatively. | each patient will be evaluated on postpartum 1st day |
| The correlation between Obstetric comorbidity index (OBCMI) and Obstetric Quality of Recovery score(ObsQoR-11) on postpartum 2nd day | Obstetric comorbidity index will be calculated before c-section.ObsQoR-11 Questionnaire will be done postoperatively. | each patient will be evaluated on postpartum 2nd day |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of the relationship between type of anaesthesia and OBCMI | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. Obstetric comorbidity index will be calculated before c-section. | each patient will be evaluated on the day of c-section |
| The relation between Lenght of hospital stay and ObsQoR-11 score on postpartum 1st day |
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Inclusion Criteria:
Exclusion Criteria:
Pregnant women
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Turkish or English-speaking, >18 years old, pregnant patients who undergo cesarean section will be included in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Gaye Şensöz Çelik | Prof. Dr. Cemil Taşçıoğlu City Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prof. Dr. Cemil Taşçıoğlu Training and Research Hospital | Istanbul | 0 (538) 314-55- | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30579408 | Result | Ciechanowicz S, Setty T, Robson E, Sathasivam C, Chazapis M, Dick J, Carvalho B, Sultan P. Development and evaluation of an obstetric quality-of-recovery score (ObsQoR-11) after elective Caesarean delivery. Br J Anaesth. 2019 Jan;122(1):69-78. doi: 10.1016/j.bja.2018.06.011. Epub 2018 Jul 31. | |
| 24104771 | Result |
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Lenght of hospital stay will be recorded from hospital software.ObsQoR-11 will be evaluated on postpartum 1st day |
| 2months |
| The relation between Lenght of hospital stay and ObsQoR-11 score on postpartum 2nd day | Lenght of hospital stay will be recorded from hospital software. ObsQoR-11 will be evaluated on postpartum 2nd day | 2months |
| The relation between complications and OBCMI | Complications will be recorded. | 2months |
| The relation between complications and ObsQoR-11 on postpartum 1st day | Complications will be recorded | 2months |
| The relation between complications and ObsQoR-11 on postpartum 2nd day | Complications will be recorded | 2months |
| The relation between urgency of cesarean section and OBCMI | C-section category will be evaluated | each patient will be evaluated on the day of c-section |
| The relation between urgency of cesarean section and ObsQoR-11 score on postpartum 1st day | C-section category will be evaluated | each patient will be evaluated on the day of c-section |
| The relation between urgency of cesarean section and ObsQoR-11 score on postpartum 2nd day | C-section category will be evaluated | each patient will be evaluated on the day of c-section |
| The relation between intraoperative hemorrhage and OBCMI | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. | On the day of C-section |
| The relation between intraoperative hemorrhage and ObsQoR-11 score on postpartum 1st day | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. | On the day of C-section |
| The relation between intraoperative hemorrhage and ObsQoR-11 score on postpartum 2nd day | Instraoperative hemorrhage will be recorded from the anaesthesia follow-up sheats. | The first 2 days postpartum |
| The relation between postoperative intensive care unit stay and OBCMI | Postoperative intensive care unit need and lenght of stay will be recorded | each patient will be evaluated on the day of c-section |
| The relation between postoperative intensive care unit stay and ObsQoR-11 score on 1st day | Postoperative intensive care unit need and lenght of stay will be recorded. | each patient will be evaluated on postpartum 1st day |
| The relation between postoperative intensive care unit stay and ObsQoR-11 score on 2nd day | Postoperative intensive care unit need and lenght of stay will be recorded. | each patient will be evaluated on postpartum 2nd day |
| Demographic data, previous obstetric history and their relation with OBCMI | Demographic data and previous obstetric history will be recorded in preoperative assessment | On the day of C-section |
| Demographic data, previous obstetric history and their relation with ObsQoR-11 score on postpartum 1st day | Demographic data and previous obstetric history will be recorded in preoperative assessment | Postpartum 1st day |
| Demographic data, previous obstetric history and their relation with ObsQoR-11 score on postpartum 2nd day | Demographic data and previous obstetric history will be recorded in preoperative assessment | Postpartum 2nd day |
| Evaluation of the relationship between type of anaesthesia and ObsQoR-11 score on postpartum 1st day | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. ObsQoR-11 will be evaluated on postpartum 1st day | each patient will be evaluated on postpartum 1st day |
| Evaluation of the relationship between type of anaesthesia and ObsQoR-11 score on postpartum 2nd day | Type of anaethesia will be recorded from the anaesthesia follow-up sheats. ObsQoR-11 will be evaluated on postpartum 2nd day | each patient will be evaluated on postpartum 2nd day |
| Bateman BT, Mhyre JM, Hernandez-Diaz S, Huybrechts KF, Fischer MA, Creanga AA, Callaghan WM, Gagne JJ. Development of a comorbidity index for use in obstetric patients. Obstet Gynecol. 2013 Nov;122(5):957-965. doi: 10.1097/AOG.0b013e3182a603bb. |
| 31229427 | Result | Easter SR, Bateman BT, Sweeney VH, Manganaro K, Lassey SC, Gagne JJ, Robinson JN. A comorbidity-based screening tool to predict severe maternal morbidity at the time of delivery. Am J Obstet Gynecol. 2019 Sep;221(3):271.e1-271.e10. doi: 10.1016/j.ajog.2019.06.025. Epub 2019 Jun 20. |