Exploring patient experiences during unexpected cesarean deliveries under neuraxial anesthesia
The Patient AS EDUcator in Anesthesia: Exploring the Patients' Experience During and After Unexpected Cesarean Delivery Under Neuraxial Anesthesia to Inform Anesthetic Practice. A Prospective Patient-centred Multidisciplinary Mixed-method. (PAS-EDU-uCD-NA)
This study is trying to understand what patients and healthcare providers experience during unexpected cesarean deliveries with spinal anesthesia to improve care and satisfaction.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 25 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | Female |
| Sponsor | Samuel Lunenfeld Research Institute, Mount Sinai Hospital Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Trial ID | NCT06589687 on ClinicalTrials.gov |
What this trial studies
This observational study aims to gather insights from patients and healthcare providers regarding their experiences during and after unexpected cesarean deliveries performed under neuraxial anesthesia. By focusing on patients' concerns, preferences, and expectations, the study seeks to identify gaps in current anesthetic practices that could enhance patient satisfaction and care quality. The findings will inform the development of educational materials for healthcare teams involved in cesarean deliveries, ultimately aiming to improve the overall patient experience and outcomes.
Who should consider this trial
Good fit: Ideal candidates for this study are women aged 18 years or older who are undergoing emergency or urgent cesarean deliveries under neuraxial anesthesia.
Not a fit: Patients who are under 18 years of age or unable to participate due to language barriers or severe medical conditions may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved patient satisfaction and reduced psychological trauma for women undergoing unexpected cesarean deliveries.
How similar studies have performed: While this approach is focused on patient experiences during cesarean deliveries, similar studies have shown that incorporating patient feedback can lead to significant improvements in care practices.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * aged 18 years or older * English language proficiency (as interviews will be performed in English) * ASA Physical Classification Score 2-5 +/- E * Emergency or Urgent CD that can be done with the existing or newly applied neuraxial anesthesia (specifically, without the need for general anesthesia) due to fetal or maternal emergencies (e.g., fetal bradycardia, pre-eclampsia, chorioamnionitis, etc.) * uCD is defined as Level 1 (Emergency - Immediate threat to life of woman or fetus) and Level 2 (Urgent - Maternal or fetal compromise which is not immediately life-threatening) CD 16 * Patients will be included if they undergo preterm delivery (under 37 weeks of gestation, or are having a multiple gestation pregnancy, also, if there is a significant fetal anomaly present Exclusion criteria: * Under 18 years of age * Unable to answer questions due to a language barrier or because of their mental or physical state (e.g., intubated patients) * BMI at the time of delivery that falls in the super-morbidly obese category (BMI \> 55 kg/m2) * Patients who underwent preterm delivery (under 32 weeks gestation) * Patients will be excluded if neonatal death has occurred. * Patients who were scheduled for an elective CD will be excluded.
Where this trial is running
Toronto, Ontario
- Mount Sinai Hospital — Toronto, Ontario, Canada (Recruiting)
Study contacts
- Principal investigator: Sabine Nabecker, MD — Mount Sinai Hospital
- Study coordinator: Sabine Nabecker, MD
- Email: sabine.nabecker@sinaihealth.ca
- Phone: 416-586-4800
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.