Nctid:
NCT06221280
Payload:
{"hasResults"=>false, "derivedSection"=>{"miscInfoModule"=>{"versionHolder"=>"2024-12-20"}, "conditionBrowseModule"=>{"meshes"=>[{"id"=>"D019052", "term"=>"Depression, Postpartum"}, {"id"=>"D003863", "term"=>"Depression"}, {"id"=>"D003866", "term"=>"Depressive Disorder"}], "ancestors"=>[{"id"=>"D001526", "term"=>"Behavioral Symptoms"}, {"id"=>"D019964", "term"=>"Mood Disorders"}, {"id"=>"D001523", "term"=>"Mental Disorders"}, {"id"=>"D011644", "term"=>"Puerperal Disorders"}, {"id"=>"D011248", "term"=>"Pregnancy Complications"}, {"id"=>"D005261", "term"=>"Female Urogenital Diseases and Pregnancy Complications"}, {"id"=>"D000091642", "term"=>"Urogenital Diseases"}], "browseLeaves"=>[{"id"=>"M7058", "name"=>"Depression", "asFound"=>"Depression", "relevance"=>"HIGH"}, {"id"=>"M7061", "name"=>"Depressive Disorder", "asFound"=>"Depression", "relevance"=>"HIGH"}, {"id"=>"M13069", "name"=>"Pain, Postoperative", "relevance"=>"LOW"}, {"id"=>"M21076", "name"=>"Depression, Postpartum", "asFound"=>"Postpartum Depression", "relevance"=>"HIGH"}, {"id"=>"M13066", "name"=>"Pain", "relevance"=>"LOW"}, {"id"=>"M4818", "name"=>"Behavioral Symptoms", "relevance"=>"LOW"}, {"id"=>"M21835", "name"=>"Mood Disorders", "relevance"=>"LOW"}, {"id"=>"M14473", "name"=>"Psychotic Disorders", "relevance"=>"LOW"}, {"id"=>"M4815", "name"=>"Mental Disorders", "relevance"=>"LOW"}, {"id"=>"M14499", "name"=>"Puerperal Disorders", "relevance"=>"LOW"}, {"id"=>"M14127", "name"=>"Pregnancy Complications", "relevance"=>"LOW"}, {"id"=>"M2875", "name"=>"Urogenital Diseases", "relevance"=>"LOW"}, {"id"=>"M27093", "name"=>"Female Urogenital Diseases", "relevance"=>"LOW"}, {"id"=>"M8399", "name"=>"Female Urogenital Diseases and Pregnancy Complications", "relevance"=>"LOW"}], "browseBranches"=>[{"name"=>"Behaviors and Mental Disorders", "abbrev"=>"BXM"}, {"name"=>"All Conditions", "abbrev"=>"All"}, {"name"=>"Symptoms and General Pathology", "abbrev"=>"BC23"}, {"name"=>"Urinary Tract, Sexual Organs, and Pregnancy Conditions", "abbrev"=>"BXS"}]}}, "protocolSection"=>{"designModule"=>{"phases"=>["NA"], "studyType"=>"INTERVENTIONAL", "designInfo"=>{"allocation"=>"RANDOMIZED", "maskingInfo"=>{"masking"=>"NONE"}, "primaryPurpose"=>"SUPPORTIVE_CARE", "interventionModel"=>"PARALLEL"}, "enrollmentInfo"=>{"type"=>"ESTIMATED", "count"=>60}}, "statusModule"=>{"overallStatus"=>"ENROLLING_BY_INVITATION", "startDateStruct"=>{"date"=>"2023-11-01", "type"=>"ACTUAL"}, "expandedAccessInfo"=>{"hasExpandedAccess"=>false}, "statusVerifiedDate"=>"2024-07", "completionDateStruct"=>{"date"=>"2024-10-01", "type"=>"ESTIMATED"}, "lastUpdateSubmitDate"=>"2024-09-03", "studyFirstSubmitDate"=>"2024-01-15", "studyFirstSubmitQcDate"=>"2024-01-15", "lastUpdatePostDateStruct"=>{"date"=>"2024-09-19", "type"=>"ACTUAL"}, "studyFirstPostDateStruct"=>{"date"=>"2024-01-24", "type"=>"ACTUAL"}, "primaryCompletionDateStruct"=>{"date"=>"2023-11-01", "type"=>"ACTUAL"}}, "outcomesModule"=>{"primaryOutcomes"=>[{"measure"=>"Pain (VAS score)", "timeFrame"=>"12 months", "description"=>"Evaluation of the postoperative analgesic effectiveness of erector spinae and transversus abdominis plane blocks after cesarean section"}], "secondaryOutcomes"=>[{"measure"=>"Postpartum depression (Edinnburg Depression Scale)", "timeFrame"=>"12 months", "description"=>"Comparison of the effectiveness of blocks for analgesia in terms of postpartum depression"}]}, "oversightModule"=>{"isUsExport"=>false, "oversightHasDmc"=>false, "isFdaRegulatedDrug"=>false, "isFdaRegulatedDevice"=>false}, "conditionsModule"=>{"keywords"=>["Nerve block, cesarean, postpartum depression"], "conditions"=>["Postoperative Pain", "Cesarean Section", "Postpartum Depression"]}, "descriptionModule"=>{"briefSummary"=>"At the end of your cesarean section surgery, which is started by applying medication to the spinal cavity from your waist, pain medication will be applied between the relevant muscle and its covering from your lower abdomen or back with the help of ultrasonography and a special block needle. Then, a patient-controlled pain device with a serum containing painkillers will be connected to your vascular access, and its use and purpose will be explained to you. You will be asked about your pain condition and the severity score of your pain, if any, at certain hourly intervals. At the end of 24 hours, a pain device will be removed, your satisfaction will be questioned and your complaints, if any, will be recorded. Immediately before surgery and 4-6 days after your surgery. An evaluation survey consisting of 10 questions will be asked to you within a 5-minute period during the weeks, at a time when you are free, and your answers will be recorded."}, "eligibilityModule"=>{"sex"=>"FEMALE", "stdAges"=>["ADULT", "OLDER_ADULT"], "minimumAge"=>"18 years", "genderBased"=>true, "genderDescription"=>"Application in cesarean section cases", "healthyVolunteers"=>true, "eligibilityCriteria"=>"Inclusion Criteria:\n\n1. Having a good mental status,\n2. Those aged ≥18 years,\n3. Term pregnant (gestational age ≥ 36 weeks),\n4. American Society of Anesthesiologists class II-III,\n5. Patients who underwent cesarean section with spinal anesthesia will be included.\n\nExclusion Criteria:\n\n1. Having labor at term or obstetric emergency,\n2. Having a twin pregnancy,\n3. Having a diagnosed psychiatric disorder/using psychiatric medication,\n4. Those who are allergic to local anesthetics and/or drugs used in the study,\n5. The patient-controlled anesthesia device is out of use for any reason within the first 24 hours postoperatively,\n6. Having peripheral neuropathy or neuromuscular disease,\n7. Patients using anticoagulant drugs that will prevent regional anesthesia will be excluded from the study."}, "identificationModule"=>{"nctId"=>"NCT06221280", "briefTitle"=>"Effects of Nerve Blocks on Pain After Caesarean Section and Postpartum Depression", "organization"=>{"class"=>"OTHER", "fullName"=>"Kahramanmaras Sutcu Imam University"}, "officialTitle"=>"Effects of Transversus Abdominis and Erector Spina Plane Blocks on Post-Cesarean Pain Control and Postpartum Depression", "orgStudyIdInfo"=>{"id"=>"2023/10-02"}}, "armsInterventionsModule"=>{"armGroups"=>[{"type"=>"ACTIVE_COMPARATOR", "label"=>"Group E", "description"=>"Patients who underwent erector spinae plane block", "interventionNames"=>["Procedure: Nerve block"]}, {"type"=>"ACTIVE_COMPARATOR", "label"=>"Group T", "description"=>"Patients who underwent transversus abdominis plane block", "interventionNames"=>["Procedure: Nerve block"]}], "interventions"=>[{"name"=>"Nerve block", "type"=>"PROCEDURE", "description"=>"Group E: While performing the erector spina plan block; Patients are placed in the lateral decubitus position, aseptic conditions are provided, the spinous process in the midline is determined under ultrasonography guidance, and the transverse process is determined 3 cm laterally from the T11 level. 100 mm 22G block needle erector.\n\nGroup T: The lumbar petit region will be determined and placed on the lateral abdominal wall at the mid-axillary line, between the iliac crest and the lower costal arch, via a linear probe (12-15 MHz probe). After determining the internal oblique muscle as the thickest muscle and the transversus abdominis muscle as the thinnest muscle, a 100 mm 22 G needle will be placed in the same plane as the USG probe (in-plane or long axis technique). The progress of the needle will be observed on ultrasound along with the facial click sensation. After the second click sensation is felt between the internal oblique and transversalis fascia.", "armGroupLabels"=>["Group E", "Group T"]}]}, "contactsLocationsModule"=>{"locations"=>[{"zip"=>"46100", "city"=>"Kahramanmaraş", "country"=>"Turkey", "facility"=>"KahramanmarasSIU", "geoPoint"=>{"lat"=>37.5847, "lon"=>36.92641}}]}, "sponsorCollaboratorsModule"=>{"leadSponsor"=>{"name"=>"Kahramanmaras Sutcu Imam University", "class"=>"OTHER"}, "responsibleParty"=>{"type"=>"PRINCIPAL_INVESTIGATOR", "investigatorTitle"=>"Assistant professor", "investigatorFullName"=>"Feyza Calisir", "investigatorAffiliation"=>"Kahramanmaras Sutcu Imam University"}}}}