Effect of Implementing Enhanced Recovery After Surgery Pathway for Women Undergoing Cesarean Section on Maternal Outcomes and Satisfaction

Emile Gohar, Isis; Saied Ibrahim Ali, Heba; Saad Mahmoud Shoukhba, Neama

doi:10.21608/ejhc.2023.374873

Effect of Implementing Enhanced Recovery After Surgery Pathway for Women Undergoing Cesarean Section on Maternal Outcomes and Satisfaction

Document Type : Original Article

Authors

¹ Assist. Prof, Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt.

² Lecturer, Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt.

10.21608/ejhc.2023.374873

Abstract

The enhanced recovery after surgery (ERAS) pathway is a multidisciplinary approach and evidencebased strategy to enhance clinical services throughout the perioperative period. This study aimed
to determine the effect of implementing an enhanced recovery after surgery pathway for women
undergoing cesarean section on maternal outcomes and satisfaction. Research design: A nonrandomized controlled clinical trial research design was conducted at the obstetric and gynecologic
inpatient and post-cesarean section wards at El-Shatby Maternity University Hospital in Alexandria
Governorate. A sample of 80 women was conveniently assigned to two groups ,40 for each . A
control group received routine hospital care, and a study group for whom ERAS was implemented.
Data were collected by the post-cesarean maternal outcome assessment sheet, the visual analog
scale, and women’s satisfaction with ERAS. Results: A highly statistically significant difference
was detected among women in the control and experimental groups in relation to their intensity of
post-caesarean pain immediately and at discharge as measured by the visual analog scale (VAS),
where p = 0.001 and p = 0.001, respectively. In addition, highly statistically significant differences
were found among the study and control groups, where p = 0.001, respectively, in favor of the study
group regarding maternal outcomes such as length of hospital stay, occurrence of nausea, vomiting,
hypoglycemia, and hypotension, presence of flatulence, getting out of bed, initiation of breast
feeding, and need for analgesics. Conclusion: Implementing ERAS significantly had positive
maternal outcomes, as well as improving the level of maternal satisfaction with the intervention.
Recommendations: The ERAS pathway should be recommended for women undergoing cesarean
sections to improve their maternal outcomes post-surgery

Keywords