Implementation of Enhanced Recovery after Surgery for Elective caesarean Section

Background: caesarean sections (CS) performed every year are increasing in number dramatically all over the world & represent loads on hospitals & medical centers. So, it became very important to give more attention for implementation of enhanced recovery after CS. Aim of the work: To investigate the effect of enhanced recovery after elective CS on the length of hospital stay, pain management, patient satisfaction, complication rate and return to hospital rate. Patients and Methods: This comparative study was conducted at Minia Maternity University hospital, it was carried out during the period from July 2018 to June 2019 during which about 400 patients under going elective CS were included ......and divided into two groups: The first group (the active group) was subjected to our enhanced recovery program after surgery for elective CS regarding specific preoperative, intra operative and postoperative measures (ERCS) ……. The second group (the control group) was subjected to the routine measures of any elective case of cesarean section regarding admission to hospital,preoperative, intraoperative and postoperative routine measures. Results: all the results of implementation of enhanced recovery program on the active group had significant differences than it in the control group with a (p<0.001). Conclusion: Implementation of ERAS protocols in surgery for CS is a promising technique. Implementation of ERAS resulted in significant reduction in hospital stay, proper pain management and reduced rate of complications without an increase in re-admissions.