open access

Vol 94, No 2 (2023)
Research paper
Published online: 2023-01-12
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Effect of the implementation of an enhanced recovery after surgery protocol (ERAS) in patients undergoing an elective cesarean section

Maria Ofelia Sordia Pineyro1, Carlos Villegas-Cruz1, Magdalena Hernandez-Bazaldua1, Alfredo Pineyro-Cantu1, Tracy Gaston-Locsin1, Luis Humberto Sordia-Hernandez2
·
Pubmed: 36853092
·
Ginekol Pol 2023;94(2):141-145.
Affiliations
  1. TEC Salud, Ignacio Morones Prieto, Monterrey, Mexico
  2. Department of Gynecology and Obstetrics, University Hospital “Dr. José E. González”, Autonomous University of Nuevo León, Monterrey N. L. Mexico

open access

Vol 94, No 2 (2023)
ORIGINAL PAPERS Obstetrics
Published online: 2023-01-12

Abstract

Objectives: To demonstrate that the application of an enhanced recovery after surgery (ERAS) protocol in elective cesarean sections is associated with reduced hospital stay without increasing maternal complications. Material and methods: This retrospective, comparative study included patients who underwent an elective cesarean section. The patients were divided into groups: group 1, women who received elements of standardized care according to ERAS guidelines, and group 2, women who did not receive this care. Results: The study included 295 patients, 139 in group 1 (ERAS) and 156 in group 2. The demographic characteristics were similar. Hospital stay and postoperative pain at 24 and 48 hours were lower in patients in group 1; these differences were statistically significant (p < 0.001). The overall complication rate, head pain, surgical wound infection, urinary retention, and readmission were similar in both groups. Conclusions: The application of an ERAS protocol can reduce hospital stay and postoperative pain without increasing the postoperative complication rate in patients who undergo an elective cesarean section. In developing countries, the application of this protocol could help in optimizing available health system resources.

Abstract

Objectives: To demonstrate that the application of an enhanced recovery after surgery (ERAS) protocol in elective cesarean sections is associated with reduced hospital stay without increasing maternal complications. Material and methods: This retrospective, comparative study included patients who underwent an elective cesarean section. The patients were divided into groups: group 1, women who received elements of standardized care according to ERAS guidelines, and group 2, women who did not receive this care. Results: The study included 295 patients, 139 in group 1 (ERAS) and 156 in group 2. The demographic characteristics were similar. Hospital stay and postoperative pain at 24 and 48 hours were lower in patients in group 1; these differences were statistically significant (p < 0.001). The overall complication rate, head pain, surgical wound infection, urinary retention, and readmission were similar in both groups. Conclusions: The application of an ERAS protocol can reduce hospital stay and postoperative pain without increasing the postoperative complication rate in patients who undergo an elective cesarean section. In developing countries, the application of this protocol could help in optimizing available health system resources.

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Keywords

ERAS; enhanced recovery; enhanced recovery after surgery; c-section; cesarean section

About this article
Title

Effect of the implementation of an enhanced recovery after surgery protocol (ERAS) in patients undergoing an elective cesarean section

Journal

Ginekologia Polska

Issue

Vol 94, No 2 (2023)

Article type

Research paper

Pages

141-145

Published online

2023-01-12

Page views

2963

Article views/downloads

632

DOI

10.5603/GP.a2023.0003

Pubmed

36853092

Bibliographic record

Ginekol Pol 2023;94(2):141-145.

Keywords

ERAS
enhanced recovery
enhanced recovery after surgery
c-section
cesarean section

Authors

Maria Ofelia Sordia Pineyro
Carlos Villegas-Cruz
Magdalena Hernandez-Bazaldua
Alfredo Pineyro-Cantu
Tracy Gaston-Locsin
Luis Humberto Sordia-Hernandez

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