Decreasing Patient Dissatisfaction With Unplanned Cesarean Sections
| Status: | Completed |
|---|---|
| Healthy: | No |
| Age Range: | Any |
| Updated: | 1/14/2018 |
| Start Date: | June 2015 |
| End Date: | May 2017 |
Decreasing Patient Dissatisfaction With Unplanned Cesarean Sections: A Prospective Trial
Patient satisfaction after an unplanned cesarean section was studied and in the previous
study it was noted that there were common themes that lead to patient dissatisfaction. The
four common themes were: lack of trust regarding the indications for surgery, communication
issues, loss of control, and fear during the situation. The purpose of this second phase of
this study is to try and improve patient dissatisfaction by offering additional emotional
support prior to the c/s with the hope of decreasing the trust issues toward physicians,
decreasing the communication barriers, and decreasing the fear and loss of control. The
additional emotional support that will be received prior to the cesarean section will be
scripted based upon the findings of the investigators' prior study - the patient will be
asked four questions and each question addresses the four themes that were noted in the
previous study.
study it was noted that there were common themes that lead to patient dissatisfaction. The
four common themes were: lack of trust regarding the indications for surgery, communication
issues, loss of control, and fear during the situation. The purpose of this second phase of
this study is to try and improve patient dissatisfaction by offering additional emotional
support prior to the c/s with the hope of decreasing the trust issues toward physicians,
decreasing the communication barriers, and decreasing the fear and loss of control. The
additional emotional support that will be received prior to the cesarean section will be
scripted based upon the findings of the investigators' prior study - the patient will be
asked four questions and each question addresses the four themes that were noted in the
previous study.
All patients admitted to the Labor and Delivery unit at Albany Medical College who are in
labor or being evaluated for possible indicated delivery will receive information regarding
the study. Those who consent to participation, if they are then determined to need a cesarean
birth will be randomized into two groups. The first group will receive pre-operative
counseling by the obstetrics resident who will be performing the cesarean, the second group
will receive usual care. The counseling sheet was determined based upon the findings of a
previous study done at this institution, and addresses four themes that were recurrent
aspects of patient dissatisfaction after cesarean birth: poor communication, trust of
physicians, loss of control, and fear of surgery.
Two weeks after the cesarean section, patients participating in the study are called on the
phone by one of the investigators. A patient satisfaction survey, using a Likert scale is
administered. This investigator is blinded as to whether the patient has received the
additional counseling or not. Comparison of these scores will be used to determine whether
pre-operative counseling can reduce dissatisfaction in patients undergoing unplanned cesarean
sections.
labor or being evaluated for possible indicated delivery will receive information regarding
the study. Those who consent to participation, if they are then determined to need a cesarean
birth will be randomized into two groups. The first group will receive pre-operative
counseling by the obstetrics resident who will be performing the cesarean, the second group
will receive usual care. The counseling sheet was determined based upon the findings of a
previous study done at this institution, and addresses four themes that were recurrent
aspects of patient dissatisfaction after cesarean birth: poor communication, trust of
physicians, loss of control, and fear of surgery.
Two weeks after the cesarean section, patients participating in the study are called on the
phone by one of the investigators. A patient satisfaction survey, using a Likert scale is
administered. This investigator is blinded as to whether the patient has received the
additional counseling or not. Comparison of these scores will be used to determine whether
pre-operative counseling can reduce dissatisfaction in patients undergoing unplanned cesarean
sections.
Inclusion Criteria:
- pregnant patient admitted at Albany Medical Center
- Faculty group patient
Exclusion Criteria:
--Patients who have scheduled cesarean sections
We found this trial at
1
site
47 New Scotland Ave
Albany, New York 12208
Albany, New York 12208
(518) 262-3125
Phone: 541-262-5013
Albany Medical College Albany Medical Center is northeastern New York's only academic health sciences center...
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