Inadequate pain relief during cesarean under spinal anesthesia
Incidence, Associated Factors, and Management of Inadequate Analgesia During Cesarean Section Under Spinal Anesthesia in the Maternity Wards of the Strasbourg University Hospital: a 2-year Retrospective Study
This project will try to identify which cesarean patients given spinal anesthesia had inadequate pain relief and how those cases were managed at Strasbourg University Hospital.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 2450 (estimated) |
| Ages | 18 Years to 40 Years |
| Sex | Female |
| Sponsor | University Hospital, Strasbourg, France Academic / other |
| Locations | 1 site (Strasbourg) |
| Trial ID | NCT07312487 on ClinicalTrials.gov |
What this trial studies
This is a retrospective observational review of cesarean deliveries performed at the Hôpitaux Universitaires de Strasbourg between January 1, 2021 and December 31, 2022, focusing on episodes of inadequate analgesia under spinal anesthesia. Investigators will extract clinical and management data from records to describe patient and procedural characteristics, timing, and treatments used when pain control was insufficient. The work is framed by the 2021 SFAR national recommendations and aims to identify local risk factors and gaps in current practice. Results will be used to draft a protocol for prevention and management tailored to the local setting.
Who should consider this trial
Good fit: Adult women (age ≥18) who underwent cesarean delivery at Strasbourg University Hospital between January 1, 2021 and December 31, 2022 and who did not object to reuse of their data are eligible for inclusion.
Not a fit: Women who delivered outside that hospital or date range, minors, or those who explicitly opposed reuse of their data would not be included and thus would not directly benefit from this work.
Why it matters
Potential benefit: If successful, the protocol could reduce occurrences of inadequate pain control during cesarean deliveries and improve patient comfort and safety.
How similar studies have performed: National SFAR guidance and prior observational reports have described inadequate analgesia in cesarean deliveries, but locally tailored, data-driven prevention and management protocols are relatively uncommon.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult woman (age ≥18 years) * Giving birth by cesarean section between January 1, 2021, and December 31, 2022, at the Strasbourg University Hospital Exclusion Criteria: * Patient who has expressed her opposition to the reuse of her data for scientific research purposes.
Where this trial is running
Strasbourg
- Service d'Anesthésie Réanimation médecine Péri-Opératoire - Hôpitaux Universitaires de Strasbourg — Strasbourg, France (Recruiting)
Study contacts
- Study coordinator: Stefanie KOESSLER, MD
- Email: stefanie.koessler@chru-strasbourg.fr
- Phone: 33 3 88 12 70 90
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.