Assessment of Enhanced Recovery Protocols in Elective Cesarean Sections

Mohammed, Abdalla Gaber; Elboromboly, Wael Hussein; Abd Eldayem, Hussein; Hassan, Ayman Abdelsalam

doi:10.21608/zumj.2023.169829.2665

Assessment of Enhanced Recovery Protocols in Elective Cesarean Sections

Document Type : Original Article

Authors

¹ Resident of Obstetrics & Gynecology, El-Ahrar teaching hospital, Sharkia, Egypt.

² Professor of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, Zagazig, Egypt

³ Assistant professor of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, Zagazig, Egypt

⁴ Professor of Anaesthesiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt

10.21608/zumj.2023.169829.2665

Abstract

Background: One of the procedures that is carried out the most frequently globally is the Caesarean section (CS). The introduction of enhanced recovery (ER) for planned CS to enable earlier discharge is receiving a lot of interest. Aim of work: To assess the enhanced recovery protocols versus the standard care in elective cesarean section and to introduce enhanced recovery protocols to Zagazig university maternity hospitals and Al-Ahrar teaching hospital to decrease the hospital stay and opioid use. Subjects and methods: This non-randomized controlled trial included patients attending at Zagazig university hospitals and Al-Ahrar teaching hospital for elective caesarean sections in the period between September 2018 and August 2019. The number of patients included in the study was 96 patients classified into 2 groups. General clinical examination, laboratory investigations and radiological studies were done. Cesarean section for all patients of both groups were performed. Results: Regarding the opiates used during the process of recovery for pain control in both groups the overall mean of both groups was 0.25 ± 0.342 amp. and 1.156 ± 0.463 amp. in group (a) and group (b) respectively where there was significant statistical difference between the two groups. Conclusion: When enhanced recovery after surgery (ERAS) protocols are used in elective cesarean sections, patients treated with these protocols benefit from earlier ambulation, earlier resumption of intestinal sounds, earlier oral intake tolerated, decreased catheterization time, decreased amounts of opiates used and their obvious side effects, improved satisfaction score, and decreased pain.

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