The correlation between quality of recovery and parturient outcomes after Cesarean delivery: a cohort study.

IF 3.4 3区医学 Q1 ANESTHESIOLOGY

Canadian Journal of Anesthesia-Journal Canadien D Anesthesie Pub Date : 2024-09-01 Epub Date: 2024-08-12 DOI:10.1007/s12630-024-02799-x

Hon Sen Tan, Chin Wen Tan, Rehena Sultana, Lu Yang, May U S Mok, Ban Leong Sng

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引用次数: 0

Abstract

Purpose: Recent studies have reported the use of the obstetric-specific quality of recovery tool (ObsQoR-10) to assess the quality of recovery in parturients after childbirth; however, the correlation between ObsQoR-10 scores and important postpartum outcomes are unclear. The primary aim of the present study was to investigate the correlations between ObsQoR-10 scores at 24 hr after Cesarean delivery and breastfeeding, depressive symptomatology, overall health, and pain at seven days postpartum.

Methods: We recruited parturients who underwent elective Cesarean delivery at KK Hospital in Singapore. Parturients provided responses to post-Cesarean questionnaires at 1) 24 hr (ObsQoR-10, EuroQol EQ-Visual Analogue Scale, Edinburgh Postnatal Depression Scale), 2) 48 hr (ObsQoR-10, EQ-Visual Analogue Scale), and 3) seven days after Cesarean delivery (ObsQoR-10, Breastfeeding Self-Efficacy Scale-Short form, EQ-Visual Analogue Scale, Edinburgh Postnatal Depression Scale, pain survey).

Results: We enrolled 222 participants, 200 (90%) of whom completed the seven-day follow-up between September 2022 and April 2023. There was limited correlation between ObsQoR-10 at 24 hr with the Edinburgh Postnatal Depression Scale (r = 0.135), EQ-Visual Analogue Scale (r = 0.158), Breastfeeding Self-Efficacy Scale-Short form (r = 0.225), and averaged pain scores (r = -0.107) at seven days postpartum. ObsQoR-10 breastfeeding sub-score at 24 hr was weakly correlated with Breastfeeding Self-Efficacy Scale-Short form at seven days postpartum (r = 0.307).

Conclusion: ObsQoR-10 at 24 hr postpartum had limited correlation with breastfeeding, depressive symptomatology, overall health, and pain at seven days.

Study registration: ClinicalTrials.gov ( NCT04989894 ); first submitted 4 July 2021.

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剖腹产后恢复质量与产妇预后之间的相关性：一项队列研究。

研究目的最近有研究报告称，产科专用恢复质量工具（ObsQoR-10）可用于评估产妇的产后恢复质量；然而，ObsQoR-10评分与重要产后结果之间的相关性尚不清楚。本研究的主要目的是调查剖宫产后 24 小时的 ObsQoR-10 评分与产后七天的母乳喂养、抑郁症状、整体健康和疼痛之间的相关性：我们招募了在新加坡 KK 医院接受择期剖宫产的产妇。产妇在剖宫产后 1) 24 小时内（ObsQoR-10、EuroQol 情商-视觉模拟量表、爱丁堡产后抑郁量表）、2) 48 小时内（ObsQoR-10、情商-视觉模拟量表）和 3) 7 天内（ObsQoR-10、母乳喂养自我效能量表-简表、情商-视觉模拟量表、爱丁堡产后抑郁量表、疼痛调查）回答了调查问卷：我们共招募了 222 名参与者，其中 200 人（90%）在 2022 年 9 月至 2023 年 4 月期间完成了为期七天的随访。产后 24 小时的 ObsQoR-10 与爱丁堡产后抑郁量表（r = 0.135）、EQ-视觉模拟量表（r = 0.158）、母乳喂养自我效能量表-简表（r = 0.225）以及产后七天的平均疼痛评分（r = -0.107）之间存在有限的相关性。产后七天时，24 小时内的 ObsQoR-10 母乳喂养子分数与母乳喂养自我效能感量表短表（r = 0.307）呈弱相关：产后24小时的ObsQoR-10与产后七天的母乳喂养、抑郁症状、整体健康和疼痛的相关性有限：研究注册：ClinicalTrials.gov（NCT04989894）；2021 年 7 月 4 日首次提交。

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来源期刊

Canadian Journal of Anesthesia-Journal Canadien D Anesthesie 医学-麻醉学

CiteScore

8.50

自引率

7.10%

发文量

161

审稿时长

6-12 weeks

期刊介绍： The Canadian Journal of Anesthesia (the Journal) is owned by the Canadian Anesthesiologists’ Society and is published by Springer Science + Business Media, LLM (New York). From the first year of publication in 1954, the international exposure of the Journal has broadened considerably, with articles now received from over 50 countries. The Journal is published monthly, and has an impact Factor (mean journal citation frequency) of 2.127 (in 2012). Article types consist of invited editorials, reports of original investigations (clinical and basic sciences articles), case reports/case series, review articles, systematic reviews, accredited continuing professional development (CPD) modules, and Letters to the Editor. The editorial content, according to the mission statement, spans the fields of anesthesia, acute and chronic pain, perioperative medicine and critical care. In addition, the Journal publishes practice guidelines and standards articles relevant to clinicians. Articles are published either in English or in French, according to the language of submission.