4.5 Article

Quality of recovery following childbirth: a prospective, multicentre cohort study

期刊

ANAESTHESIA
卷 78, 期 9, 页码 1071-1080

出版社

WILEY
DOI: 10.1111/anae.16039

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National Health Service; obstetric anaesthesia; patient reported outcome measures; postpartum; quality of recovery

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To assess postpartum recovery in patients receiving peripartum anaesthetic interventions, a UK-based multicentre cohort study was conducted. Data on recovery metrics, including quality of recovery measures, pain scores, length of hospital stay, readmission rates, and complications, were collected at 1 and 30 days postpartum. The study included 1638 patients, and the results showed variations in recovery outcomes based on delivery mode and identified a subset of patients who experienced complications and readmissions.
To better understand outcomes in postpartum patients who receive peripartum anaesthetic interventions, we aimed to assess quality of recovery metrics following childbirth in a UK-based multicentre cohort study. This study was performed during a 2-week period in October 2021 to assess in- and outpatient post-delivery recovery at 1 and 30 days postpartum. The following outcomes were reported: obstetric quality of recovery 10-item measure (ObsQoR-10); EuroQoL (EQ-5D-5L) survey; global health visual analogue scale; postpartum pain scores at rest and movement; length of hospital stay; readmission rates; and self-reported complications. In total, 1638 patients were recruited and responses analysed from 1631 (99.6%) and 1282 patients (80%) at one and 30 days postpartum, respectively. Median (IQR [range]) length of stay postpartum was 39.3 (28.5-61.0 [17.7-513.4]), 40.3 (28.5-59.1 [17.8-220.9]), and 35.9 (27.1-54.1 [17.9-188.4]) h following caesarean, instrumental and vaginal deliveries, respectively. Median (IQR [range]) ObsQoR-10 score was 75 ([62-86] 4-100) on day 1, with the lowest ObsQoR-10 scores (worst recovery) reported by patients undergoing caesarean delivery. Of the 1282 patients, complications within the first 30 days postpartum were reported by 252 (19.7%) of all patients. Readmission to hospital within 30 days of discharge occurred in 69 patients (5.4%), with 49 (3%) for maternal reasons. These data can be used to inform patients regarding expected recovery trajectories; facilitate optimal discharge planning; and identify populations that may benefit most from targeted interventions to improve postpartum recovery experience.

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