The Evaluation of Postoperative Pain After Caesarean Section

The Evaluation of Postoperative Pain After Emergency and Elective Caesarean Section Operations

The aim of this study is to determine the effect of surgical priority either emergency or elective on postoperative pain in caesarean section operations. Patients whose undergo caesarean section operation are included into this study. Patients will invite to complete the Pain Catastrophizing Scale questionnaire in preoperative period. The patients will be divided into two groups in terms of applied surgical priority whether emergency or elective. After caesarean section, patient controlled analgesia is used for pain relief. And the intensity of pain will be measured by using numerical rating scale.

Study Overview

• Status: Completed
• Conditions: Pain

Detailed Description

Pain is the main problem of postoperative period. Postoperative analgesic consumption can be associated with physical and psychological condition of the individual. This study is aimed to investigate the effect of surgical priority either emergency or elective on postoperative pain in caesarean section operations.

Patients are invited to complete the pain catastrophizing scale questionnaire in preoperative period.

A total of 100 patients will be included into the study. Patients are divided into two groups in terms of surgical priority whether emergency or elective. Spinal or general anesthesia will be performed to the patients. In postoperative period, patient controlled analgesia will be applied for pain relief and numerical rating scale is used to determine the pain intensity in 1st, 2nd, 6th, 12th, 24th hours. The analgesic consumption in 24 hours will be recorded.

• Study Type: Observational
• Enrollment (Actual): 115

Contacts and Locations

Study Locations

• Turkey
  • Tokat, Turkey, 60200
    • Gaziosmanpasa University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Probability Sample

Study Population

individuals whose underwent caesarean section operation in terms of surgical priority whether emergency or elective

Description

Inclusion Criteria:

• American Society of Anesthesiologists score of 1 or 3 and 1-Emergency or 3-Emergency

Exclusion Criteria:

• Patients whose not to participate
• Patients whose have communication problems
• Patients whose have been using antipsychotic or antidepressant drugs

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Emergency caesarean section; patients whose underwent emergency caesarean section operation
Elective caesarean section; patients whose underwent elective caesarean section operation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Total amount of analgesics	24 hours

Secondary Outcome Measures

Outcome Measure	Time Frame
numerical rating scale	24 hours
pain catastrophizing scale	1 year

Collaborators and Investigators

• Sponsor: Tokat Gaziosmanpasa University
• Investigators: Principal Investigator: Hakan Tapar, Ass.Prof, MD, Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation

Publications and helpful links

General Publications

• Taşdemir A, Erakgün A, Nuri Deniz M, ÇertuğA . Preoperatif Bilgilendirme Yapılan Hastalarda Ameliyat öncesi ve Sonrası Anksiyete Düzeylerinin State-Trait Anxiety Inventory Test ile Karşılaştırılması. Turkish Journal Anaesthesiology and Reanimation 41(2): 44-9, 2013.
• Kırdemir P, Özorak Ö. Postoperatif Ağrı ve Analjezik İhtiyacı Preoperatif Dönemde Tahmin Edilebilir mi? Turkiye Klinikleri Journal of Medical Sciences 31(4):951-9, 2011.
• Hüseyinoğlu Ü, Ülker K, Temur İ, Kütük M. Elektif Sezaryen Doğum Sonrası Postoperatif Ağrı Gideriminde Meperidin ve Tramadolün Karșılaștırılması: Bir Prospektif Randomize Çalıșma. Kafkas Journal of Medical Sciences 1(2):53-56, 2011.

Study record dates

Study Major Dates

• Study Start: December 1, 2013
• Primary Completion (Actual): May 1, 2016
• Study Completion (Actual): May 1, 2016

Study Registration Dates

• First Submitted: January 5, 2015
• First Submitted That Met QC Criteria: January 5, 2015
• First Posted (Estimate): January 6, 2015

Study Record Updates

• Last Update Posted (Actual): April 19, 2017
• Last Update Submitted That Met QC Criteria: April 18, 2017
• Last Verified: April 1, 2017

More Information

Terms related to this study

• Keywords: pain; cesarean section; pain catastrophizing
• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Pain; Neurologic Manifestations; Pain, Postoperative
• Other Study ID Numbers: 13-KAEK-226

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED