Implementing Enhanced Recovery Pathway after surgery Protocol for Women Undergoing Cesarean section delivery | ||
| Egyptian Journal of Health Care | ||
| Article 120, Volume 12, Issue 3, September 2021, Pages 1925-1943 PDF (528.75 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2021.278631 | ||
| Authors | ||
| Afaf Mohamed Mohamed Emam1; Eman Mohamed Abd Elhakm1; Nageya Ezzat Said2 | ||
| 1Asisstant Professor of Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt | ||
| 2lecturer 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 | ||
| Enhanced; recovery pathway; surgery; protocol; cesarean delivery | ||
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