Fast-track Discharge After Elective Cesarean Section

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)

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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.