Status:

RECRUITING

The Patient AS EDUcator in Anesthesia: Exploring the Patients' Experience During and After Unexpected Cesarean Delivery Under Neuraxial Anesthesia to Inform Anesthetic Practice

Lead Sponsor:

Samuel Lunenfeld Research Institute, Mount Sinai Hospital

Conditions:

Psychological Well Being

Eligibility:

FEMALE

18-50 years

Brief Summary

This study aims to explore the patients' and providers' perspectives and inform future anesthetic practice for patients undergoing unexpected cesarean delivery (CD) under neuraxial anesthesia (NA). Th...

Detailed Description

Cesarean delivery (CD) is a surgical procedure that allows for birth of a neonate through a laparotomy and hysterotomy and is the most common surgical procedure performed worldwide with 21% of all chi...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • aged 18 years or older
  • English language proficiency (as interviews will be performed in English)
  • ASA Physical Classification Score 2-5 +/- E
  • Emergency or Urgent CD that can be done with the existing or newly applied neuraxial anesthesia (specifically, without the need for general anesthesia) due to fetal or maternal emergencies (e.g., fetal bradycardia, pre-eclampsia, chorioamnionitis, etc.)
  • uCD is defined as Level 1 (Emergency - Immediate threat to life of woman or fetus) and Level 2 (Urgent - Maternal or fetal compromise which is not immediately life-threatening) CD 16
  • Patients will be included if they undergo preterm delivery (under 37 weeks of gestation, or are having a multiple gestation pregnancy, also, if there is a significant fetal anomaly present
  • Exclusion criteria:
  • Under 18 years of age
  • Unable to answer questions due to a language barrier or because of their mental or physical state (e.g., intubated patients)
  • BMI at the time of delivery that falls in the super-morbidly obese category (BMI \> 55 kg/m2)
  • Patients who underwent preterm delivery (under 32 weeks gestation)
  • Patients will be excluded if neonatal death has occurred.
  • Patients who were scheduled for an elective CD will be excluded.

Exclusion

    Key Trial Info

    Start Date :

    January 7 2025

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    July 1 2025

    Estimated Enrollment :

    25 Patients enrolled

    Trial Details

    Trial ID

    NCT06589687

    Start Date

    January 7 2025

    End Date

    July 1 2025

    Last Update

    January 22 2025

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Mount Sinai Hospital

    Toronto, Ontario, Canada, M5G1X5