Sleep Quality After Cesarean Delivery
Study Details
Study Description
Brief Summary
Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Poor sleep quality also brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.
| Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Postoperative pain after cesarean delivery can be found as high as 70 percent in the first postoperative pain. Also, the side effect of anesthetic may cause poor sleep quality such as itching, nausea, and vomiting.
Poor sleep quality brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. The data on obstetric patients sleep quality in the early postoperative period is scarce. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.
Study Design
Outcome Measures
Primary Outcome Measures
- Sleep quality [24 hours postoperative]
Sleep quality at the first postoperative day evaluated by Richard Campbell Sleep Questionaire- Thai version
Secondary Outcome Measures
- Nausea and vomiting score [24 hours postoperative]
Nausea and vomiting score; 0 = no symptom, 1= mild symptom nausea and no vomiting, 2 = vomiting 1-2 times, 3 = severe vomiting or needed treatment
- Itching [24 hours postoperative]
Itching score; 0 = no itching, 1= mild itching, 2 = severe itching or needed treatment
- Postoperative pain [24 hours postoperative]
11-point Numerical rating score (NRS) pain scale ranging from 0-10, 0= no pain, 10 = severe pain
- EQ-5D-5L [24 hours postoperative]
Quality of life evaluated by EuroQol group-5 Dimentions-5 levels questionnaire (EQ-5D-5L)- Thai version
- LATCH score [24 hours postoperative and at the discharge day]
LATCH score comprise of 5 components: Latch, Audible swallowing, Type of nipple, Comfort and Hold- each component scored from 0-2, A total of less than 8 is considered unsatisfactory
- Length of hospital stay [Through the study completion an average 3-5 days]
Length of hospital stay
- Neonatal weight [Postoperative day 1 and day 3]
The weight of neonate
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age >,= 18 years, undergoing cesarean delivery
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Receive spinal anesthesia with local anesthetic drug and intrathecal morphine
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Understand Thai
Exclusion Criteria:
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Patients receive epidural block or nerve block
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Patients require conversion to general anesthesia with any reasons
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Patients require endotracheal intubation with any reasons
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Patients admit to intensive care unit in postoperative period
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Patients with the end of operation at the time 24.00-6.00 AM
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Anesthesiology department, Siriraj hospital, Mahidol University | Bangkok | Thailand | 10700 |
Sponsors and Collaborators
- Mahidol University
Investigators
- Principal Investigator: Patchareya Nivatpumin, M.D., Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 831/2565(IRB1)
- Si 898/2022