Pain After Cesarean Section - A Danish Multicenter Cohort Study.

NCT ID: NCT06012747

Last Updated: 2024-06-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

752 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-01

Study Completion Date

2024-05-31

Brief Summary

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Pain after a cesarean section is of moderate to severe intensity. A Danish multicenter study from 2021 used an obstetric Quality of Recovery score 24 hours after the cesarean section and found that 45% of 861 patients had experienced very severe pain during recovery.

This result was surprisingly high but also unspecific. Therefore, the investigators aim to investigate the intensity of pain experienced by patients at specific time intervals after the cesarean section e.g., every 6th hour. Additionally, the investigators will examine whether the pain has an impact on important functions for both the patients and the newborns, as well as assess the overall morphine consumption.

All Danish regions have approved the REDCap database as a secure way to collect and store data. REDCap can also send encrypted links that can be converted into SMS messages sent to the participants' mobile phones at fixed intervals, allowing participants to enter data directly into the secure system. The investigators also aim to feasibility test the system.

When a child is delivered by cesarean section, it is an expectation that the mother can take care of herself and the baby a few hours after the surgery. However, severe pain can hinder this. Therefore, it is important to investigate whether pain relief for our patients is sufficient.

Based on response rates and the frequency of outcomes, data from this observational study can support the design of a future national multicenter randomized controlled trial (RCT) with a focus on postoperative pain intervention. The incidences of binary outcome measures and standard deviations of continuous outcome measures will support the sample size calculations for our RCT.

Detailed Description

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Conditions

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Pain Cesarean Section Recovery

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Questionnaire

The patients receive a questionnaire every 6 hours during the first 24 hours after their cesarean section, and again after 2, 7, and 30 days.

Intervention Type OTHER

Eligibility Criteria

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Exclusion Criteria

Age \< 18 years
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Nordsjaellands Hospital

OTHER

Sponsor Role lead

Responsible Party

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Patricia Duch

MD Patricia Duch

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Patricia Duch, MD

Role: PRINCIPAL_INVESTIGATOR

Hillerod Hospital, Denmark

Helene Nedergaard, MD, Ph.D

Role: STUDY_CHAIR

Kolding Sygehus

Locations

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Department of Anesthesia, Åbenrå Hospital

Aabenraa, , Denmark

Site Status

Department of Anesthesia, Aalborg University Hospital

Aalborg, , Denmark

Site Status

Department of Anesthesia, Århus University Hospital

Aarhus, , Denmark

Site Status

Department of Anesthesia, Copenhagen University Hospital, Rigshospitalet

Copenhagen, , Denmark

Site Status

Department of Anesthesia, Esbjerg Hospital

Esbjerg, , Denmark

Site Status

Department of Anesthesia, Gødstrup Hospital

Gødstrup, , Denmark

Site Status

Department of Anesthesiology, Copenhagen University Hospital, Herlev

Herlev, , Denmark

Site Status

Department of Anesthesiology, Copenhagen University Hospital, North Zealand Hillerød

Hillerød, , Denmark

Site Status

Department of Anesthesia, Hjørring Sygehus

Hjørring, , Denmark

Site Status

Department of Anesthesia, Holbæk Hospital

Holbæk, , Denmark

Site Status

Department of Anesthesia, Horsens Hospital

Horsens, , Denmark

Site Status

Department of Anesthesiology, Copenhagen university Hospital, Hvidovre

Hvidovre, , Denmark

Site Status

Department of Anesthesia and Intensive care, University Hospital of Southern Denmark, Kolding

Kolding, , Denmark

Site Status

Department of Anesthesia, Nykøbing Falster Hospital

Nykøbing Falster, , Denmark

Site Status

Department of Anesthesia, Odense University Hospital

Odense, , Denmark

Site Status

Department of anesthesia, Randers Sygehus

Randers, , Denmark

Site Status

Department of Anesthesia, Zealand University Hospital, Roskilde

Roskilde, , Denmark

Site Status

Department of Anesthesia, Slagelse Hospital

Slagelse, , Denmark

Site Status

Department of Anesthesia,Viborg, Regional Hospital

Viborg, , Denmark

Site Status

Countries

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Denmark

References

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Duch P, Wikkelso A, Jorgensen CC, Jakobsen JC, Mathiesen O, Norskov AK, Nedergaard H; on the behalf of the National Pain after Cesarean Section (PACS) Working Group . And in collaboration with CEPRA a consortium initiative for peri-operative research (www.cepra.nu). Pain and adverse effects after caesarean delivery: A nationwide prospective cohort study. Eur J Anaesthesiol. 2025 Sep 15. doi: 10.1097/EJA.0000000000002277. Online ahead of print.

Reference Type DERIVED
PMID: 40956058 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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100

Identifier Type: -

Identifier Source: org_study_id

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