A 5-Year Anesthetic Evaluation of Cases Undergoing Cesarean Section Delivery ın Our Clinic

NCT06524713 | Active Not Recruiting

• 2 other identifiers: SEZRETA1822tsahin
• Study Type: observational
• Target: 2,500
• Locations: 1 country
• Sites: 1

Brief Summary

Despite global efforts to reduce the rate of cesarean section births worldwide, increase recommendations for elective induction of labor, and promote trials of vaginal birth after previous cesarean deliveries, cesarean rates are steadily rising, varying from country to country. The management of obstetric patients requires the effective and safe application of anesthesia to anticipate and prevent emergencies, ensuring a positive experience for the mother, baby, and their family. Neuraxial anesthesia is considered the gold standard for cesarean section births. In case of an emergency cesarean, the likelihood of general anesthesia increases, making the safe provision of anesthesia more challenging. The choice of anesthesia technique for cesarean section is determined by considering maternal and fetal conditions, accompanying diseases, the urgency of surgery, and the difficulty of procedures. In this study, the investigators will retrospectively examine the anesthesia records of all cesarean section cases treated in the clinic between 2018 and 2022. the investigators aim to analyze demographic data, the anesthesia methods applied, complications, the relationship between surgery time and anesthetic method, the association between anesthesia method and neonatal Apgar scores, and the type of postoperative analgesia administered in the clinic (including regional anesthesia, opioids, non-steroidal anti-inflammatory drugs if performed). The study will be descriptive in nature, aiming to provide insights into commonly applied methods and management in the researcher's clinic.

Conditions

Anesthesia; Cesarean Section

Outcome Measures

Primary Outcomes (2)

• Evaluating the anesthetic management of cesarean section cases in researcher's clinic.

  Researchers will retrospectively review patients' anesthesia records to examine anesthesia management in emergency and elective cases in the clinic.

  2018-2022

• Evaluating the anesthetic complications of cesarean section cases in researcher's clinic.

  Researchers will retrospectively review patients' anesthesia records to examine common anesthesia related complications in emergency and elective cases in the clinic.

  2018-2022

Eligibility Criteria

• Gender Eligibility Details: Pregnant Women Undergoing Cesarean Section
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All Pregnant Women Undergoing Cesarean Section at Kocaeli University Hospital between January 1, 2018, and December 31, 2022

You may qualify if:

• All Pregnant Women Undergoing Cesarean Section at Kocaeli University Hospital between January 1, 2018, and December 31, 2022

You may not qualify if:

• Ectopic Pregnancy

Sponsors & Collaborators

• Kocaeli University: lead

Study Sites (1)

Kocaeli University

Kocaeli, Turkey (Türkiye)

Location

Related Publications (3)

• Robson MS. Use of indications to identify appropriate caesarean section rates. Lancet Glob Health. 2018 Aug;6(8):e820-e821. doi: 10.1016/S2214-109X(18)30319-X. No abstract available.

  PMID: 30012256 BACKGROUND

• Society of Maternal-Fetal (SMFM) Publications Committee. Electronic address: pubs@smfm.org. SMFM Statement on Elective Induction of Labor in Low-Risk Nulliparous Women at Term: the ARRIVE Trial. Am J Obstet Gynecol. 2019 Jul;221(1):B2-B4. doi: 10.1016/j.ajog.2018.08.009. Epub 2018 Aug 9.

  PMID: 30098985 BACKGROUND

• Van de Velde M. Anaesthesia for caesarean section. Curr Opin Anaesthesiol. 2001 Jun;14(3):307-10. doi: 10.1097/00001503-200106000-00004.

  PMID: 17019107 BACKGROUND

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: January 20, 2024
• First Posted: July 29, 2024
• Study Start: January 1, 2018
• Primary Completion: December 31, 2022
• Study Completion: December 31, 2024
• Last Updated: July 29, 2024

Record last verified: 2024-07

Locations

TU (1)