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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
142
As described above
Department of Obstetrics and Gynecology
Herning, Denmark
Parents' Postnatal Sense of Security
Using the validated PPSS-questionaire
Time frame: Measured one week after delivery
Pain scores
Measured by the patient in a questionnaire using numeric rating scale
Time frame: During the first week postpartum
Use of analgesia
Daily consumption in mg of paracetamol, NSAID and opioid.
Time frame: During the first week postpartum
Mobilization
Step count measured by an activity monitor (Fitbit Flex)
Time frame: 5 days postpartum
Breastfeeding
Duration and extent of breastfeeding
Time frame: 6 months after delivery
Readmissions
Number of readmissions and length of hospital stay in number of days
Time frame: 28 days postpartum
Surgical complications
Number of complications using the Clavien-Dindo Classification (1-5)
Time frame: 28 days postpartum
Complications in the postnatal period
Number and type of complications using the ICD-10 classification
Time frame: 28 days postpartum
Contacts to the health care system
Number of contacts and site of contacts (primary or secondary care)
Time frame: 28 days postpartum
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