Quality of Recovery After Childbirth

KK Women's and Children's Hospital

Status: Enrolling

Conditions: Quality of Life; Childbirth; Maternal Health

Study type: Observational

Funder types: Other

Identifiers

NCT04989894

2021/2160

Details and patient eligibility

About

In this proposed study, the investigators hope to assess the quality of recovery after delivery in a local population that would take into account physiological and psychological parameters to better understand the recovery process after delivery. The investigators will identify risk factors, especially those that are modifiable and associated with a poorer ObsQoR score and hence a poor quality of recovery after delivery. This data may then be used to educate women and manage expectations in the postpartum period, and help develop potential therapeutic interventions.

Full description

Traditional postpartum outcome measures do not describe the patient experience or quality of recovery (QoR) after childbirth. A recent obstetric-specific recovery tool (ObsQoR-10) has been developed to assess the quality of recovery in patients in various mode of delivery on aspects of pain, drug side effects, comfort, control, ability to hold and feed the baby, independent mobilization and achievement of personal hygiene. However, this questionnaire is not yet validated in Asian population, especially in Chinese- and Malay-speaking patients.

The investigators aim to investigate the validity, reliability, feasibility, and responsiveness of the Chinese and Malay translated versions of ObsQoR-10. The investigators will first perform a pre-test in 5-10 patients for each language, of which an interview will be conducted to seek for their feedback and suggestions. Modification of questionnaire will be done if necessary, followed by recruitment of 112 patients at postpartum day 1 to fill in the Chinese/Malay translated ObsQoR-10 and other questionnaires related to their mood, anxiety and pain. In this proposed study, the investigators hope to assess the quality of recovery after delivery in a local population that would take into account physiological and psychological parameters to better understand the recovery process after delivery. The investigators will identify risk factors, especially those that are modifiable and associated with a poorer ObsQoR score and hence a poor quality of recovery after delivery. This data may then be used to educate women and manage expectations in the postpartum period, and help develop potential therapeutic interventions.

Enrollment: 122 estimated patients

Sex: Female

Ages: 21 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 21-50 years old;
• Able to read and understand written Chinese;
• Primiparous and having singleton pregnancy;
• Delivered via spontaneous vaginal delivery, or elective cesarean delivery;
• ≥38 gestational week.

Exclusion criteria

• Failed neuraxial analgesia in those receiving elective cesarean delivery;
• General anaesthesia;
• Intrapartum cesarean delivery;
• Women whose infants have died;
• Mother or baby requiring ICU after delivery;
• Assisted/ operative vaginal delivery.