ENHANCED RECOVERY AFTER SURGERY (ERAS) A MULTIMODAL PERIOPERATIVE CARE PATHWAY IN CESAREAN DELIVERIES

• Gorantla Manoghna,  
• Sudarshan Dash,  
• Pramila Jena,  
• Dr Rajalaxmi Moharana,*  
• Sudhanshu k Rath

Abstract

Introduction: Enhanced Recovery After Surgery (ERAS) is an evidence based perioperative program applied for early recovery of patients after surgery to reduce the postoperative surgical stress and hasten early physiological and functional recovery. The present study is focused on application of ERAS protocol in the branch of obstetrics following cesarean sections. Aims: The primary objective is to compare the efficacy between post-operative recommendations of ERAS protocols and traditional post-operative care in cesarean sections. Materials and methods: A total of 300 patients were included in this study from November 2020 to October 2022 from the inpatient department of Obstetrics and Gynaecology of Pradyumna Bal Memorial hospital, KIMS, Bhubaneswar. Results: Out of 300 patients, 150 were in ERAS group and 150 were in control (conventional) group. The median Length of stay (LOS) of ERAS and control group were 3 and 5 days respectively (p<0.01). The median patient satisfaction score on Likert scale was 4 and 3 for ERAS and control group respectively (p<0.01). Conclusion: The application of ERAS in post-operative period after cesarean has showed significant results in decreasing length of stay and better patient satisfaction score.

Keywords

Enhanced Recovery after Surgery (ERAS), Cesarean sections, Length of stay (LOS), Patient satisfaction score