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Trial registered on ANZCTR
Registration number
ACTRN12616000677404
Ethics application status
Approved
Date submitted
31/03/2016
Date registered
25/05/2016
Date last updated
30/01/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
A comparison of the effects of general and spinal anaesthesia during cesearean section on breastfeeding
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Scientific title
A comparison of the effects of general and spinal anaesthesia during cesearean section on breastfeeding
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Secondary ID [1]
288870
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nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
breastfeeding
298162
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Condition category
Condition code
Reproductive Health and Childbirth
298328
298328
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0
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Breast feeding
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Anaesthesiology
298933
298933
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0
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Anaesthetics
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
6
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Target follow-up type
Months
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Description of intervention(s) / exposure
The patients’ demographic data were recorded. The patients were divided into two groups based on the type of anaesthesia they received during their caesarean section. Patients were enrolled into the study post-delivery.
Non randomized.
Group G (General anaesthesia): Preoxygenation was achieved with 100% oxygen for 3 minutes. For induction of general anaesthesia, intravenous 2 mg/kg propofol (Propofol (R), Fresenius-kabi; Istanbul, Turkey), intravenous 1.5 mg/kg, lidocaine (Jetmonal(R) 2%, Adeka; Istanbul, Turkey) and intravenous 0.9 mg/kg rocuronium (Esmeron(R), MSD; Istanbul, Turkey) were administered. After the infant was delivered, intravenous 1 mcg/kg fentanyl (Talinat(R), Vem; Istanbul, Turkey) was administered. For maintenance, 50% O2+ 50% air + 1 MAC sevoflurane (Sevorane(R), Abbvie; Istanbul, Turkey) was administered. Tenoxicam (Tilcotil(R), Deva; Istanbul, Turkey) 20 mg was administered intravenously for postoperative pain.
Group S (Spinal anaesthesia): Spinal anaesthesia was performed by inserting a 25G Quince needle at the L3-4 or L4-5 space. Intratekal 12 mg hyperbaric bupivacaine (Bustesin %0.5 spinal heavy (R), Vem; Istanbul, Turkey) was administered.
The patients were assessed by another anaesthetist at postoperative 1 and 24 hours and 6 months.
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Intervention code [1]
294705
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Not applicable
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Comparator / control treatment
Group S (spinal anaesthesia): While the patients were in sitting position, appropriate site cleaning was performed with the 25G Quincke spinal needle through the L3-L4 or L4-L5 disc space. 15mg 0.5% bupivacaine (Bustesin %0.5 spinal heavy(R), Vem; Istanbul, Turkey) was administered into subarachnoid space.
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Control group
Active
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Outcomes
Primary outcome [1]
297819
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Rate of breastfeeding in the first 24 hours after surgery assessed through medical records
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Assessment method [1]
297819
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Timepoint [1]
297819
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24 hours post surgery
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Primary outcome [2]
298173
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Rate of breastfeeding in the first hour after surgery through medical records
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Assessment method [2]
298173
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Timepoint [2]
298173
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First hour post surgery
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Secondary outcome [1]
322344
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Rate of breastfeeding in the first 6 months after birth assessed through medical records
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Assessment method [1]
322344
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Timepoint [1]
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6 months post surgery
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Eligibility
Key inclusion criteria
Pregnant subjects at term who were admitted for caesarean section and whom we could contact via phone were included
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pre-term subjects, those with foetal distress, mentally retarded subjects, those who did not cooperate and those who do not speak Turkish were excluded from the study. The subjects whose infants were admitted to the neonatal intensive care unit after delivery were also excluded.
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Study design
Purpose
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Duration
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Selection
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
4/06/2015
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Date of last participant enrolment
Anticipated
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Actual
30/09/2015
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Date of last data collection
Anticipated
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Actual
1/04/2016
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Sample size
Target
330
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Accrual to date
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Final
248
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Recruitment outside Australia
Country [1]
7761
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Turkey
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State/province [1]
7761
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Bursa
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Funding & Sponsors
Funding source category [1]
293234
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Self funded/Unfunded
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Name [1]
293234
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Derya Karasu
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Address [1]
293234
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Bursa Yuksek Ihtisas Training and Education Hospital Clinic of Anesthesiology and Reanimation
Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/ Bursa
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Country [1]
293234
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Turkey
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Primary sponsor type
Individual
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Name
Derya Karasu
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Address
Bursa Yuksek Ihtisas Training and Education Hospital Clinic of Anesthesiology and Reanimation
Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/ Bursa
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Country
Turkey
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Secondary sponsor category [1]
292033
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Individual
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Name [1]
292033
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Canan Yilmaz
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Address [1]
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Bursa Yuksek Ihtisas Training and Education Hospital Clinic of Anesthesiology and Reanimation
Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/ Bursa
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Country [1]
292033
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Turkey
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294714
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Yuksek Ihtisas Training and Education Hospital Clinical Research Ethics Committee
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Ethics committee address [1]
294714
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Bursa Yuksek Ihtisas Training and Education Hospital Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/ Bursa Turkey
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Ethics committee country [1]
294714
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Turkey
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Date submitted for ethics approval [1]
294714
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29/05/2015
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Approval date [1]
294714
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03/06/2015
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Ethics approval number [1]
294714
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2015/11-09
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Summary
Brief summary
Purpose: We aim to compare the effects of general anaesthesia and spinal anaesthesia on breastfeeding in caesarean section cases. Method: Pregnant subjects at term who were admitted for caesarean section and whom we could contact via phone were included. Pre-term subjects, those with foetal distress, mentally retarded subjects, those who did not cooperate and those who do not speak Turkish were excluded from the study. The subjects whose infants were admitted to the neonatal intensive care unit after delivery were also excluded. The subjects’ demographic data were recorded. The subjects were divided into two groups: those undergoing general anaesthesia (Group G) and those undergoing spinal anaesthesia (Group S). Breastfeeding was assessed by another anaesthetist at post-operative 1 and 24 hours and 6 months. Findings: A total of 248 subjects were assessed statistically. No statistically significant difference was found between the two groups in terms of first breastfeeding interval. The rate of breastfeeding within 1 hour of delivery was 15.5% in Group G and 21.8% in Group S. The difference was not statistically significant. No statistically significant difference was found between the groups in terms of the rate of breastfeeding within the first 24 hours, either. The rate of breastfeeding in the 6-month period was statistically significantly higher in Group S than Group G. Result: We believe that our study contributes to the literature on investigating spinal anaesthesia and general anaesthesia in breastfeeding subjects. We think that in term pregnancies, the type of anaesthesia does not affect the first breastfeeding interval; however, spinal anaesthesia is superior to general anaesthesia in long-term breastfeeding.
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Trial website
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Trial related presentations / publications
no applicable
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Public notes
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Contacts
Principal investigator
Name
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Dr Derya Karasu
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Address
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Bursa Yuksek Ihtisas Training and Education Hospital Clinic of Anesthesiology and Reanimation
Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/ Bursa
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Country
64722
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Turkey
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Phone
64722
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+905057281175
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Fax
64722
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Email
64722
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[email protected]
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Contact person for public queries
Name
64723
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Canan Yilmaz
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Address
64723
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Bursa Yuksek Ihtisas Training and Education Hospital Clinic of Anesthesiology and Reanimation
Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/ Bursa
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Country
64723
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Turkey
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Phone
64723
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+90 5059045989
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Fax
64723
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Email
64723
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[email protected]
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Contact person for scientific queries
Name
64724
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Derya Karasu
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Address
64724
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Bursa Yuksek Ihtisas Training and Education Hospital Clinic of Anesthesiology and Reanimation
Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/ Bursa
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Country
64724
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Turkey
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Phone
64724
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+905057281175
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Fax
64724
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Email
64724
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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