Enhanced Recovery After Cesarean Delivery: A Comparative Study

Nilesh Ramanlal Doshi, Jayant Vinayak Upadhye, Aditi Jayant Upadhye, Jayshree Jayant Upadhye

Abstract

Aim: To highlight perioperative interventions that should be part of an enhanced recovery after surgery (ERAS) protocol for cesarean delivery

Materials and Methods: One hundred women undergoing elective caesarean delivery were divided into 2 groups: group A, study group—willing for enhanced recovery after cesarean (ERAC), and group B, control group—unwilling for ERAC protocol. Various parameters were compared between the 2 groups.

Results: In group A, the mean hospital stay (3 ± 1 d) and mean pain score (2.6 ± 0.6 of 10) were less. On day 8, postdischarge follow-up complications were seen in 2 (4%) women. Readmission was seen in 2 (4%) women. The mean patient satisfaction score increased to 8 ± 1 (of 10; very good).

In group B, the mean hospital stay was 6 ± 2 days, and mean pain score was 5.8 ± 1.6 (of 10). On day 8, postdischarge follow-up complications were seen in 10 (20%) women. Readmission was seen in 10 (20%) women. The mean patient satisfaction score was 4.6 ± 1 (of 10).

Conclusion: In the study group (group A), perioperative nausea, vomiting, and pain scores were less. ERAC encouraged early ambulation with early resumption of daily activities and high patient satisfaction, and was associated with a short hospital stay. Thus, the ERAS protocol should be followed for women who plan for cesarean delivery.