Effect of Preoperative Oral Carbohydrate Drink on ObsQoR-10 Score After Elective Cesarean Under Neuraxial Anesthesia
NCT ID: NCT07204795
Last Updated: 2025-10-02
Study Results
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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RECRUITING
NA
100 participants
INTERVENTIONAL
2025-05-20
2026-05-31
Brief Summary
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Primary Outcome: Does the carbohydrate drink improve ObsQoR-10 scores at 24 and 48 hours postoperatively?
Secondary Outcomes: Does it reduce patients' hunger, thirst, and anxiety levels?
Researchers will compare patients receiving a 400 ml oral carbohydrate-rich clear drink 2 hours before surgery (Group A) to those receiving 400 ml distilled water (Group B), to assess differences in recovery and comfort.
Participants will:
Be randomized into two equal groups (n=50 each) using a computer-generated randomization table
Receive standardized anesthesia and postoperative analgesia
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Detailed Description
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Upon arrival in the operating room, patients will undergo routine monitoring. Cesarean delivery will be performed using either spinal anesthesia or combined spinal-epidural anesthesia based on clinical indications. Intrathecal anesthesia will consist of 11.2 mg hyperbaric bupivacaine, 15 µg fentanyl, and 150 µg morphine. If additional analgesia is required through the epidural route, a mixture of 15 mL 2% lidocaine, 2 mL fentanyl, 2 mL sodium bicarbonate, and 1:200,000 adrenaline will be administered.
For intraoperative analgesia, all patients will receive 1 g intravenous acetaminophen, and, if not contraindicated, 800 mg intravenous ibuprofen. Postoperative pain management will include scheduled doses of 1 g acetaminophen and 800 mg ibuprofen every 8 hours for 48 hours. If the visual analog pain score (VAS) exceeds 3, 5 mg of oral oxycodone will be given as rescue analgesia. At discharge, patients will be prescribed up to 20 tablets of 5 mg oxycodone for breakthrough pain, with advice to continue regular acetaminophen and ibuprofen.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
TRIPLE
Study Groups
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Control Group
Control Group will receive distilled water.
Distilled water group
Group A participants will receive 400 mL of distilled water orally, two hours before surgery.
Intervention Group
This arm of patients will receive clear carbohydrate drink.
Carbohydrate Drink
Group A participants will receive 400 mL of a commercially available clear carbohydrate-rich drink orally, two hours before surgery.
Interventions
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Distilled water group
Group A participants will receive 400 mL of distilled water orally, two hours before surgery.
Carbohydrate Drink
Group A participants will receive 400 mL of a commercially available clear carbohydrate-rich drink orally, two hours before surgery.
Eligibility Criteria
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Inclusion Criteria
Scheduled for elective cesarean section under neuraxial anesthesia
Gestational age ≥37 weeks
Exclusion Criteria
Age \<18 years
Refusal to participate in the study
Obesity
Hiatal hernia
Intestinal obstruction
Gastroesophageal reflux disease (GERD)
Diabetes mellitus
Fetal anomalies
Eclampsia or preeclampsia
Substance abuse
Chronic pain conditions
18 Years
FEMALE
Yes
Sponsors
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Ataturk University
OTHER
Responsible Party
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Aysenur Dostbil
Professor Dr.
Locations
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Ataturk University Research Hospital
Erzurum, , Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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References
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Kozanhan B, Yildiz M, Polat A, Gunenc O, Tutar SM, Iyisoy MS, Kulhan NG, Sultan P. Development and Validation of a Turkish Version of Obstetric Quality of Recovery-10. Turk J Anaesthesiol Reanim. 2022 Oct;50(5):366-372. doi: 10.5152/TJAR.2022.21441.
Cho EA, Huh J, Lee SH, Ryu KH, Shim JG, Cha YB, Kim MS, Song T. Gastric Ultrasound Assessing Gastric Emptying of Preoperative Carbohydrate Drinks: A Randomized Controlled Noninferiority Study. Anesth Analg. 2021 Sep 1;133(3):690-697. doi: 10.1213/ANE.0000000000005411.
Ciechanowicz S, Setty T, Robson E, Sathasivam C, Chazapis M, Dick J, Carvalho B, Sultan P. Development and evaluation of an obstetric quality-of-recovery score (ObsQoR-11) after elective Caesarean delivery. Br J Anaesth. 2019 Jan;122(1):69-78. doi: 10.1016/j.bja.2018.06.011. Epub 2018 Jul 31.
Other Identifiers
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B.30.2.ATA.0.01.00/331
Identifier Type: -
Identifier Source: org_study_id
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