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Doctoral Thesis | Obstetrics and Gynecology | India | Volume 13 Issue 3, March 2024 | Rating: 5.9 / 10
A Prospective Comparative Study of Application of Enhanced Recovery After Surgery (ERAS) in Patients Undergoing Elective Caesarean Section
Dr. Misbah Mulla, Dr. Kavita Velankar, Dr. Snehal Ukirde, Dr. Jayanarayan Senapati
Abstract: Background: The objective of the present study was to test the application of enhanced recovery after surgery (ERAS) in patients undergoing elective caesarean section on the post - operative recovery process. Method: A prospective comparative analytical study was conducted in RGMC & CSMH, Kalwa Thane over the study duration of 18 months. Total 100 patient which were further divided into two equal groups randomly ERAS group (n=50) and Conventional group (n=50) as per inclusion and exclusion criteria. Relevant data was collected from PROFORMA filled by investigator & caesarean outcome was assessed in ERAS & non - ERAS group. Structured questionnaire was developed from previously used survey tools, and validated in our patient?s group. Results: The study found that the majority of subjects were aged 26 - 30 years, with a majority being multigravida. The ERAS group had shorter passage times and mobilization times compared to the conventional group. The ERAS group had better satisfaction scores but had lower hospital stay duration. Both groups received pre - operative antibiotic prophylaxis, anesthesia, PONV/IONV prophylaxis, and DVT prophylaxis. Post - operative laxative needs were observed in 4% of conventional group subjects. The strategy of enhanced recovery for elective cesarean sections could reduce hospital stay, healthcare costs, and patient satisfaction. Conclusion: The study reveals that ERAS patients experience shorter hospital stays and higher satisfaction scores, with fewer complications. The study suggests that enhanced recovery after surgery can reduce hospital stays, financial burdens, and bed occupancy, benefiting hospitals, patients, and healthcare facilities. This could increase patient treatment and resource utilization.
Keywords: Cesarean Delivery, Enhanced Recovery After Surgery
Edition: Volume 13 Issue 3, March 2024
Pages: 47 - 50