Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Poor sleep quality also brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.
Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Postoperative pain after cesarean delivery can be found as high as 70 percent in the first postoperative pain. Also, the side effect of anesthetic may cause poor sleep quality such as itching, nausea, and vomiting. Poor sleep quality brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. The data on obstetric patients sleep quality in the early postoperative period is scarce. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.
Study Type
OBSERVATIONAL
Enrollment
286
Anesthesiology department, Siriraj hospital, Mahidol University
Bangkok, Thailand
Sleep quality
Sleep quality at the first postoperative day evaluated by Richard Campbell Sleep Questionaire- Thai version
Time frame: 24 hours postoperative
Nausea and vomiting score
Nausea and vomiting score; 0 = no symptom, 1= mild symptom nausea and no vomiting, 2 = vomiting 1-2 times, 3 = severe vomiting or needed treatment
Time frame: 24 hours postoperative
Itching
Itching score; 0 = no itching, 1= mild itching, 2 = severe itching or needed treatment
Time frame: 24 hours postoperative
Postoperative pain
11-point Numerical rating score (NRS) pain scale ranging from 0-10, 0= no pain, 10 = severe pain
Time frame: 24 hours postoperative
EQ-5D-5L
Quality of life evaluated by EuroQol group-5 Dimentions-5 levels questionnaire (EQ-5D-5L)- Thai version
Time frame: 24 hours postoperative
LATCH score
LATCH score comprise of 5 components: Latch, Audible swallowing, Type of nipple, Comfort and Hold- each component scored from 0-2, A total of less than 8 is considered unsatisfactory
Time frame: 24 hours postoperative and at the discharge day
Length of hospital stay
Length of hospital stay
Time frame: Through the study completion an average 3-5 days
Neonatal weight
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The weight of neonate
Time frame: Postoperative day 1 and day 3