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Cesarean Section clinical trials

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NCT ID: NCT06247852 Recruiting - Chronic Pain Clinical Trials

Persistent Pain After Cesarean Delivery - A Danish Multicenter Cohort Study

Start date: September 1, 2023
Phase:
Study type: Observational

In Denmark, around 12,700 patients undergo Cesarean delivery (CD) annually, constituting approximately 20% of all childbirths in the country. Worldwide, the number is increasing each year, with more than 20 million CD performed annually. Postoperative pain after CD is typically moderate to severe in intensity and still constitutes a significant challenge, balancing effective pain relief and potential side effects. Correlations between moderate to severe acute pain and the development of persistent pain after CD is still unclear. Postsurgical persistent pain is a significant, often unrecognized clinical problem that causes distress and diminishes the quality of life for patients. Despite advances in understanding the factors contributing to persistent postsurgical pain and an increased focus on identifying patients at risk, the management and prevention of postsurgical persistent pain are still inadequate. It is important to gain further insights into this population, and we have a unique opportunity to do so by following the national cohort from the ongoing Danish multicenter cohort study on pain after cesarean section (ClinicalTrials.gov Identifier: NCT06012747) over an extended follow-up period. This involves continued prospective registration of Patient-Reported Outcome Measures (PROM) collected by SMS-based questionnaires in the months and years after the CD, thereby investigating the occurrence of both acute and persistent pain after CD. The outcomes are focused on pain levels, the impact of pain on physical function and neuropathic pain characteristics in the months and years following the CD. The study also aims to explore the relationship between persistent and acute pain.

NCT ID: NCT06232057 Recruiting - Anxiety Clinical Trials

Use of Virtual Reality Glasses for Pain and Anxiety After Cesarean

Start date: February 1, 2024
Phase: N/A
Study type: Interventional

The goal of this randomized controlled trial is to examine the effect of preoperative virtual reality used before cesarean on postoperative pain and anxiety. The main question[s] it aims to answer are: - What is the anxiety level of women in the intervention and control groups after using virtual reality? - What is the pain level of women in the intervention and control groups after using virtual reality? Women in the intervention group will be shown a relaxing video accompanied by virtual reality glasses before cesarean. No intervention will be applied to women in the control group. Researchers will compare pre- and post-operative anxiety levels and post-operative pain levels of both groups.

NCT ID: NCT06225323 Recruiting - Cesarean Section Clinical Trials

Effect of Lidocaine Infusion on Neuraxial Opioid-induced Pruritus After Cesarean Section

Start date: January 29, 2024
Phase: N/A
Study type: Interventional

The aim of this study is to assess the efficacy and potency of lidocaine infusion as a preventive measure on pruritus response after injection of 200 micro gram morphine with bupivacaine subarachnoid block, spinal anesthesia, in cesarean section.

NCT ID: NCT06221280 Enrolling by invitation - Postoperative Pain Clinical Trials

Effects of Nerve Blocks on Pain After Caesarean Section and Postpartum Depression

Start date: November 1, 2023
Phase: N/A
Study type: Interventional

At the end of your cesarean section surgery, which is started by applying medication to the spinal cavity from your waist, pain medication will be applied between the relevant muscle and its covering from your lower abdomen or back with the help of ultrasonography and a special block needle. Then, a patient-controlled pain device with a serum containing painkillers will be connected to your vascular access, and its use and purpose will be explained to you. You will be asked about your pain condition and the severity score of your pain, if any, at certain hourly intervals. At the end of 24 hours, a pain device will be removed, your satisfaction will be questioned and your complaints, if any, will be recorded. Immediately before surgery and 4-6 days after your surgery. An evaluation survey consisting of 10 questions will be asked to you within a 5-minute period during the weeks, at a time when you are free, and your answers will be recorded.

NCT ID: NCT06206928 Not yet recruiting - Cesarean Section Clinical Trials

Evaluation of Mitochondrial Enzyme Activity in Cesarean Section Patients

Start date: January 20, 2024
Phase:
Study type: Observational [Patient Registry]

The goal of this observational study is to learn about in effects of trace element metabolism, tricarboxylic acid cycle enzyme activities and thiol/disulfide balance in patients who underwent cesarean section under spinal anesthesia. The main question[s] it aims to answer are: • What is the effect of trace element metabolism, tricarboxylic acid cycle enzyme activities and thiol/disulfide balance in patients undergoing cesarean section under regional anesthesia? A 10 ml blood sample will be taken from the participants to analyze the biochemical parameters mentioned before and after the operation. Pre- and post-operative values will be compared.

NCT ID: NCT06206044 Enrolling by invitation - Cesarean Section Clinical Trials

Evaluation of the Typical Spinal Block During Cesarean Delivery

Start date: June 10, 2024
Phase:
Study type: Observational

This will be a prospective, observational, single-center study to evaluate the accuracy of sensory testing by blunt 16-gauge plastic cannula during the 15 minutes after spinal injection for predicting spinal failure. While previous studies assessed the minimal sensory level required for painless cesarean delivery at skin incision or delivery, no studies have assessed the accuracy of sensory testing at an earlier time point.

NCT ID: NCT06201143 Not yet recruiting - Cesarean Section Clinical Trials

The Effect of kınesıologıcal tapıng, mobılızatıon and breathıng exercıse on paın and Comfort After Caesarea

Caesarea
Start date: February 10, 2024
Phase: N/A
Study type: Interventional

No study has been found in which kinesiology taping, mobilization and breathing exercises were used regarding postoperative pain and postpartum comfort after cesarean section. This study aims to determine the effects of kinesiology taping, mobilization and breathing exercise on post-cesarean section pain and postpartum comfort. The study will be conducted with three groups, two intervention groups and one control group. It has been calculated that a minimum of 33 people in each group and 99 people in total will be sufficient. Anticipating the possibility of data loss in the study, it was planned to include 15% more patients (n = 114). Research Questions Is there a difference in terms of pain between the groups that received kinesiology taping, mobilization training and breathing exercises after cesarean section and those that did not? Is there a difference in postpartum comfort level between the groups that received kinesiology taping, mobilization training and breathing exercises after cesarean section and those that did not? Is there a difference in terms of pain between groups with and without post-cesarean mobilization training and breathing exercise? Is there a difference in postpartum comfort level between groups with and without post-cesarean mobilization training and breathing exercise?

NCT ID: NCT06185725 Recruiting - Cesarean Section Clinical Trials

Comparison of Modified Perichondral Approach Thoracoabdominal Nerve Block and Transversus Abdominal Plane Block in Analgesia Management Following Caesarean Section Surgery

Start date: January 15, 2024
Phase: N/A
Study type: Interventional

Cesarean section (CS) is one of the most frequently performed surgical procedures in the World. Moderate to severe postoperative pain occurs in a significant proportion of women after cesarean surgery. The analgesic effectiveness of TAP block has been demonstrated after cesarean section operations. m-TAPA block has been described as an alternative analgesic technique in abdominal surgeries. The aim of this study is to compare these two analgesic methods in terms of effectiveness for postoperative analgesia management after cesarean section.

NCT ID: NCT06166303 Not yet recruiting - Cesarean Section Clinical Trials

Number of Previous Cesarean Sections on the Results of Angiogenic Factors.

Start date: June 1, 2024
Phase:
Study type: Observational

Hypertensive disorders of pregnancy (HPT) are an important cause of maternal-feto-neonatal morbidity and mortality, being one of the three leading causes of maternal death in our country and in developing countries. The only cure for THE is termination of pregnancy, which ends up being a decision in which gestational age and maternal risks must be balanced. Angiogenic factors have come to occupy an indispensable place in the arsenal of tools that can be used to separate the patient with a high likelihood of complications from those in whom prolongation of pregnancy could represent an important neonatal benefit. Although the usefulness of angiogenic factors in these scenarios is known, little is known about the effects that other conditions might have on their serum levels, mainly those that have an effect on trophoblastic invasion, the process that initiates implantation of the pregnancy in the endometrium. The purpose of the present study is to assess the effect that a history of uterine surgery, such as caesarean section, might have on angiogenic factor scores in subjects with no history of a hypertensive disorder of pregnancy.

NCT ID: NCT06162156 Recruiting - Cesarean Section Clinical Trials

Effects of Back Massage After Cesarean Section

Start date: December 1, 2023
Phase: N/A
Study type: Interventional

The aim of this study is to examine the effect of back massage application after cesarean section on women's pain, anxiety, sleep, breastfeeding, comfort, uterine involution process and physiological parameters. This research is a randomized controlled experimental type study with a pretest-posttest control group. In the research, after obtaining the necessary permissions and the ethics committee report, the application will be carried out to women who have given birth by cesarean section at the State Hospital and meet the criteria for inclusion in the study. Personal Information Form, Richard Campbell Sleep Scale, Trait-Trait Anxiety Inventory, Postpartum Comfort Scale, Bristol Breastfeeding Evaluation Tool, Visual Analog Scale for Pain, Uterine Involution Evaluation Form, Physiological Parameter Form will be used in the research.