Presence of the Father During Hyperacute Cesarean Section

Overview

This study concerns cesarean sections, category 1, meaning those cases where the life of mother and/or fetus is in immedeate danger and child must be delivered within 15 minutes from pressing the call. In the organisation of Lillebaelt Hospital, Kolding, Denmark, these cesarean sections are performed in general anesthesia and the mother is endotracheally intubated. Previously in these situations, as the mother was rushed from the Labour Ward to the operation room (OR), her spouse/the father of the child, would be placed on a chair outside the OR, and would stay there until the child had been delivered. In Lillebaelt Hospital the newborn-resuscitation table is placed in the OR. The father would be allowed to enter the OR when the child was delivered and placed on the resuscitation table (no matter the status of the child). However, during spring 2021, Lillebaelt Hospital updated the policy regarding the handling of the father during cesarean section category 1, so that the father is now present in the OR during the whole procedure, including induction of general aesthesia, endotracheal intubation, performance of the cesarean section (drapings are positioned so that the father cannot see the operation field) and potential resuscitation efforts of the newborn. The investigators therefore wish to investigate how this is experienced by: the father; the mother; the obstetrician; the anestesiologist; the midwife; the OR nurse; the anesthetic nurse. The investigators further wish to investigate how cesarean sections category 1 is experienced by the father in other hospitals, where the father is not present in the operation room during the procedure.

Full Title of Study: “Presence of the Father in the Operation Room During Hyperacute Secarean Sections”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: January 1, 2023

Interventions

  • Other: Prescence of the father during cesarean section in general anesthesia
    • The father is now present in the OR during cesarean section category 1, instead of waiting outside

Arms, Groups and Cohorts

  • Father present, Kolding hospital
    • All fathers, mothers and hospital staff involved in cesarean section category 1 in Kolding Hospital, where the father is present in the OR during the procedure
  • Father not present, Aabenraa hospital
    • All fathers involved in cesarean section category 1 in Aabenraa hospital, where the father is not present in the OR during the procedure

Clinical Trial Outcome Measures

Primary Measures

  • Fathers experience
    • Time Frame: 1-2 days after the cesarean section
    • Fathers experience of being present during the acute cesarean section category 1, described quantitatively with possibility for qualitative components

Secondary Measures

  • Mothers experience
    • Time Frame: 1-2 days after the cesarean section
    • Mothers experience of the father being present during the acute cesarean section category 1, described quantitatively with possibility for qualitative components
  • Surgeons experience
    • Time Frame: Up to 2 weeks after the cesarean section
    • Surgeons experience of the father being present during the acute cesarean section category 1, described quantitatively with possibility for qualitative components
  • Anesthesiologists experience
    • Time Frame: Up to 2 weeks after the cesarean section
    • Anesthesiologists experience of the father being present during the acute cesarean section category 1, described quantitatively with possibility for qualitative components
  • Midwifes experience
    • Time Frame: Up to 2 weeks after the cesarean section
    • Midwifes experience of the father being present during the acute cesarean section category 1, described quantitatively with possibility for qualitative components
  • OR nurses experience
    • Time Frame: Up to 2 weeks after the cesarean section
    • OR nurses experience of the father being present during the acute cesarean section category 1, described quantitatively with possibility for qualitative components
  • Anesthetic nurses experience
    • Time Frame: Up to 2 weeks after the cesarean section
    • Anesthetic nurses experience of the father being present during the acute cesarean section category 1, described quantitatively with possibility for qualitative components

Participating in This Clinical Trial

Inclusion Criteria

  • cesarean section category 1 Exclusion Criteria:

  • none

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Sygehus Lillebaelt
  • Provider of Information About this Clinical Study
    • Principal Investigator: Helene Korvenius Nedergaard, MD, PhD – Sygehus Lillebaelt
  • Overall Official(s)
    • Hanne I Jensen, Professor, Study Chair, University Hospital of Southern Denmark, Kolding
  • Overall Contact(s)
    • Helene K Nedergaard, MD, +4553272244, helene.korvenius.nedergaard@rsyd.dk

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