About this trial
This prospective observational study aims to identify predictors of severe postoperative pain during the first 24 hours after elective cesarean delivery under spinal anesthesia. Preoperative, intraoperative, and postoperative factors will be evaluated to determine their association with severe postoperative pain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pregnant women aged 18-45 years.
Elective cesarean delivery under spinal anesthesia.
Ability to understand Turkish.
Written informed consent.
Disqualifiers
Emergency cesarean delivery.
Conversion to general anesthesia.
Major obstetric hemorrhage.
Intensive care requirement.
Trial population
Pregnant women aged 18-45 years undergoing elective cesarean delivery under spinal anesthesia at Bursa City Hospital.
Trial design
Cohort
Prospective
Treatments tested in this trial
Observational Assessment of Postoperative Pain
Other interventionParticipants will receive routine spinal anesthesia and standard perioperative care for elective cesarean delivery. Preoperative, intraoperative, and postoperative variables will be recorded without any study-specific intervention.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Severe Postoperative Pain
Severe postoperative pain will be defined as a Numerical Rating Scale score of 6 or higher. The scale ranges from 0 to 10, with higher scores indicating greater pain intensity.
Secondary outcomes
Preoperative Anxiety Score
Preoperative anxiety will be assessed using the Amsterdam Preoperative Anxiety and Information Scale anxiety subscale. Scores range from 4 to 20, with higher scores indicating greater anxiety.
Preoperative Information Requirement Score
Information requirements will be assessed using the Amsterdam Preoperative Anxiety and Information Scale information subscale. Scores range from 2 to 10, with higher scores indicating greater information needs.
Expected Postoperative Pain
Expected postoperative pain will be assessed using a Numerical Rating Scale ranging from 0 to 10, with higher scores indicating greater expected pain.
Intraoperative Visceral Pain
The proportion of patients who experience visceral pain during cesarean delivery under spinal anesthesia will be recorded as a binary outcome (Yes/No).
Sponsors and contacts
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Bursa City Hospital
Lead sponsor
Ulusoy, Emre, M.D.
Collaborator