Pain During Cesarean Section with Combined Spinal-Epidural Anesthesia

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study enrolls about 200 parturients undergoing elective cesarean delivery who receive combined spinal-epidural anesthesia. A verbal pain rating and a 0-10 numeric rating scale are collected within 2 hours after surgery to determine whether any pain occurred and the maximum pain level. The primary outcome is the proportion reporting pain (any non-none response) or a maximum pain score of 4 or higher. Results will be compared with a historical incidence of 18% reported for combined spinal-epidural anesthesia. The study aims to contextualize perioperative pain perception and its potential psychological impact in this surgical setting.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Elective cesarean delivery
* Speaks and reads sufficient Finnish to understand the concent forms and fill the questionnaire.
* Volunteers to participate in the study

Exclusion Criteria:

* Planned anaesthesia mode other than combined-spinal epidural anaesthesia for any reason.

Where it's running

• Women's hospital, Helsinki University Hospital
  Helsinki, Finland Recruiting
• Kuopio University Hospital
  Kuopio, Finland Recruiting
• Oulu University Hospital
  Oulu, Finland Recruiting

Study contacts

• Principal investigator: Terhi Kivela, MD PhD — Oulu University Hospital
• Study coordinator: Terhi Kivelä, MD
• Email: terhi.m.kivela@pohde.fi
• Phone: +35883152093

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Effects of massage and exercises on cesarean scar and recovery

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  Recruiting Concordia University, Montreal · Montreal, Quebec · NCT07897253

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• Hyperangulated vs. Macintosh blades for obstetric intubation

  This study tests whether a hyperangulated blade or a Macintosh-style blade helps obstetric patients get an endotracheal tube placement more safely during cesarean deliveries under general anesthesia.

  Recruiting Samuel Lunenfeld Research Institute, Mount Sinai Hospital · Toronto, Ontario · NCT07667010

• Predicting low blood pressure after spinal anesthesia in cesarean deliveries using neck vein collapsibility and perfusion index

  This study tests whether preoperative neck vein collapsibility and a pulse oximetry-based perfusion index can predict post-spinal hypotension in women undergoing elective cesarean sections.

  Recruiting Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital · Muğla, Muğla · NCT07539896

• Phenylephrine 75 micrograms versus 50 micrograms to prevent oxytocin-related low blood pressure during cesarean

  This trial will test whether a 75 µg or 50 µg bolus of phenylephrine given with oxytocin better prevents drops in blood pressure in women having elective cesarean sections under spinal anesthesia.

  Recruiting Phase 4 Rawalpindi Medical College · Rawalpindi, Punjab Province · NCT07420127

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.