Fast-track Discharge After Elective Cesarean Section

H

Herning Hospital

Status

Completed

Conditions

Postoperative Period

Treatments

Procedure: Fast-track discharge

Study type

Interventional

Funder types

Other

Identifiers

NCT02911727
1

Details and patient eligibility

About

Cesarean section (CS) is a procedure with prolonged hospital stay compared to the routine for normal vaginal delivery in multiparas. The difference is caused mainly by postoperative pain but improvements in management of pain may change this situation and make early discharge possible. However, several aspects need to be considered. The aim of this project is to evaluate fast-track discharge for multiparas after elective CS concerning neonatal and maternal complications as well as the parents' sense of security and well-being. The study is a randomized controlled trial including 142 women allocated to either 1) the intention to discharge within 28 hours followed by a home visit or 2) standard discharge after at least 48 hours after elective CS. This study will be among the first evaluating fast-track discharge after CS in a European context. If a positive outcome is achieved, we expect that fast-track discharge can be implemented with improved quality and reduced costs in postnatal care following elective CS.

Enrollment

142 estimated patients

Sex

Female

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Planned elective CS of multiparous women
  • Singleton pregnancy
  • Gestational age at least 37+0 weeks
  • Prepregnancy BMI <35

Exclusion criteria

  • Lack of consent
  • Women with no or little understanding of and ability to speak Danish
  • Expected maternal or neonatal complications after delivery

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

142 participants in 2 patient groups

Fast-track discharge
Experimental group
Description:
Intention to discharge within 28 hours after elective cesarean section including a home visit by a nurse or midwife from the postnatal ward.
Treatment:
Procedure: Fast-track discharge
Standard discharge
No Intervention group
Description:
Discharge at least 48 hours after elective cesarean section.

Trial contacts and locations

1

Loading...

Data sourced from clinicaltrials.gov

Clinical trials

Find clinical trialsTrials by location
© Copyright 2024 Veeva Systems