Improving pain management after cesarean sections
Pain Management After Cesarean Section - A Prospective Before-and-After Cohort Study on the Implementation of the Intraoperative Recommendation of the PROSPECT Guidelines
This study is testing new ways to manage pain after cesarean sections to see if they can help new moms feel better in the first day after surgery.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 50 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | Nordsjaellands Hospital Academic / other |
| Locations | 1 site (Hillerød) |
| Trial ID | NCT06813638 on ClinicalTrials.gov |
What this trial studies
This observational study aims to enhance postoperative pain management for patients undergoing planned cesarean sections by implementing recommendations from the PROSPECT guidelines. The focus is on optimizing intraoperative management through techniques such as wound infiltration and ilio-inguinal field blocks. The study will assess the effectiveness of these interventions in reducing severe pain during the critical first 24 hours post-surgery, particularly within the first 12 hours when pain is typically most intense. Patient-reported outcomes will be collected to evaluate the success of the pain management strategies.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older who are undergoing planned cesarean sections under spinal anesthesia and can communicate in Danish.
Not a fit: Patients with daily opioid use, multiple pregnancies, insulin-treated diabetes, chronic pain conditions, or those undergoing unplanned cesarean sections may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve pain relief and recovery for cesarean section patients.
How similar studies have performed: Previous studies have shown success with similar pain management approaches, indicating a promising avenue for improving postoperative care.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients who undergo planned cesarean section under spinal anesthesia. * Patients who speak and read Danish and can provide informed consent to participate. * Patients who have a mobile phone that can receive a text message with a link to a questionnaire that can be accessed on an online website on the phone. * Age ≥ 18 years Exclusion criteria: * The study excludes patients with daily opioid use. * Multiple pregnancies (gemelli or more). * Insulin-treated diabetes. * Chronic pain patients. * Unplanned CS
Where this trial is running
Hillerød
- University Hospital of Copenhagen, Northern Zealand — Hillerød, Denmark (Recruiting)
Study contacts
- Principal investigator: Patricia Duch, MD — Department of Anaesthesia, University Hospital of Copenhagen, Northern Zealand
- Study coordinator: Patricia Duch, MD
- Email: Patricia.duch@regionh.dk
- Phone: 0045 48294829
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.