Enhanced Recovery after Surgery versus Standard Care for Elective Cesarean Deliveries in the Tertiary Care Center, Rajavithi Hospital, Thailand
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Abstract
Objectives: To compare the length of stay (LOS), pain score, opioid use, and complications of cesarean deliveries (CD) between an enhanced recovery after surgery (ERAS) and standard care protocol.
Materials and Methods: A total of 80 pregnant women with elective CD were enrolled in a prospective cohort study between January and May 2020. Forty patients were assigned to ERAS protocol, and the remaining 40 were determined under standard care. The ERAS protocol is composed of preoperative, intraoperative, and postoperative care. In addition, the ERAS was modified, including drinking water instead of carbohydrate because of serious aspiration concerns. The primary objective was the length of stay, and the secondary objectives were pain score, opioid use, and complications of CD.
Results: There was a significantly shorter LOS in patients under ERAS protocol (3.0 and 1.9 days, p < 0.001), reduced opioid use (p < 0.001), and pain score (p < 0.001) compared to standard care. Moreover, a shorter time to flatus was found (20 and 40 hours after CD). However, we found no difference in complications between the two groups.
Conclusion: ERAS protocol in elective CD was an effective method to reduce LOS, opioid use, pain score, and improve bowel function without significant complications.
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References
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