About this trial
This study will follow people having a planned cesarean birth with a spinal or combined spinal-epidural anesthetic. The investigators will ask what kinds of sensations participants feel during the operation, how often these happen, and whether any of the sensations feel as unacceptable or too uncomfortable.
Participants will be asked a few short questions at six set times during the surgery. Participants will also complete short questionnaires before surgery and again after birth (up to 6 months) to help us understand mood, stress, and overall wellbeing.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Healthy pregnant patients ≥36 weeks gestational age
ASA Physical Status Class 2-3
Elective cesarean delivery
Age ≥19 years
Disqualifiers
Known history of chronic pain or pain disorders
Currently taking medications with analgesic properties
Known history of neurological conditions that may impair normal sensation
Cesarean delivery requiring epidural top-up or de novo general anesthesia
Trial population
Healthy pregnant patients ≥36 weeks gestational age undergoing elective cesarean delivery under neuraxial anesthesia at BC Women's Hospital
Trial design
Cohort
Prospective
Treatments tested in this trial
Standardized intraoperative and postoperative patient-reported assessments
Other interventionBrief patient self-assessments at six intraoperative time points (questions + VAS + diagram), and postoperative questionnaires (PDI, EPDS, PCL-5) through 6 months postpartum.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of intraoperative sensory stimuli perceived as unacceptable
Proportion of participants who report experiencing any intraoperative sensory stimulus that they subjectively self-report as unacceptable.
Secondary outcomes
Qualitative description of unacceptable sensory stimuli
Thematic categorization of participant responses
Severity of intraoperative sensory stimuli
Sensation intensity rated using a 0-10 visual analog scale (VAS) at each intraoperative assessment time point.
Total intraoperative supplemental IV analgesia received
Total dose(s) of supplemental IV analgesic medications administered intraoperatively, abstracted from the medical record/anesthesia record.
PTSD symptoms over time
PTSD Checklist for DSM-5 (PCL-5) score measured longitudinally.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options: