Implementing Enhanced Recovery Pathway after surgery Protocol for Women Undergoing Cesarean section delivery

Document Type : Original Article

Authors

1 Asisstant Professor of Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt

2 lecturer in Maternal and Neonatal health Nursing, faculty of nursing, Ain shams university, Egypt

Abstract

Background. Women experiencing cesarean section delivery tends to have several problems, so
assisting mothers in coping with and solving these problems as well as improving their practice may
contribute to decreasing length of stay, reduce post operative complications and achieve early
recovery.Aim: to investigate the effect of ERAS pathway protocol on postoperative outcomes for
women undergoing cesarean delivery. Study design: A quasi-experimental design was used. Setting:
The study was conducted at Obstetrics and Gynecology department of Benha University Hospital,
Benha City, Egypt. Sampling: A convenient sample of 50 nurses and a purposive sample of 200
women undergoing elective-CS divided into two equal groups (100 women were assigned to study
group and 100 women in control group who) were used. Tools: five tools were used for collecting
data, for nurse: 1) self-administered questionnaire 2) observational checklist: for post cesarean
section women: 3) A structured interviewing questionnaire. 4) Clinical Pathway Observation
checklist. 5) Visual Analogue Scale for pain measurement. Results: The current study shows highly
statistically significant differences observed between the study and the control group regarding post-
cesarean improvement indicators as the study group were more likely experiencing early oral intake(85%),
early ambulation ( 95%), early initiated of breast feeding( 77%), less mean score of pain (98%), as well as
decreasing the incidence of health problems and post-cesarean complications in the post-operative period,
less likely to have shorter mean period for length of stay and suture removal than the control group
(P<0.001*). Conclusion: implementation of enhanced recovery after surgery (ERAS) protocol had
positive effect on reducing postoperative complications, decrease length of hospital stay, improving
mother's performance related to breast feeding, early ambulation, and post-natal exercise.as well as
significant improvement in the postoperative outcomes. Recommendations: Enhanced recovery pathway
protocol should be implemented as a routine care in all health care settings to improve recovery
outcomes after cesarean section as well as other gynecological surgeries.

Keywords

Egyptian Journal of Health Care
Volume 12, Issue 3
September 2021
Pages 1925-1943

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