Enhanced recovery is to optimize multiple aspects of patient care to improve recovery thereby facilitating earlier discharge, without a reduction in patient satisfaction or the quality of care. Currently, there are limited randomized studies exist in the literature specifically addressing the potential impact of an enhanced recovery pathway among women undergoing caesarean delivery on postoperative outcomes and postoperative length of stay. The study was done to determine efficacy of ERAS in comparison with Standard care among caesarean deliveries in perioperative care outcome i.e. length of hospital stay, complications. This is a Prospective Randomized Control study was conducted on the subjects who were undergoing scheduled caesarean Delivery at a tertiary care centre from August 2020 to September 2020. A total of 80 study subjects, 40 in each group by randomization were allocated into Group A (ERAS group) and Group B (Standard of Care group). All the study subjects in both the groups received pre-operative prophylaxis like antibiotic administration 30 min prior to surgery, Administration of anaesthesia, and post & intraoperative nausea vomiting (PONV/IONV) prophylaxis, DVT prophylaxis. Whereas active warming during section was given to subjects who were in ERAS Group only. In the study there was significant difference in Median duration of IV infusion, Oral intake for liquids & for solids, catheter removal, first ambulation after CS and duration of hospital stay between two groups. All the above parameters were delayed in Non-ERAS group compared to ERAS group. To conclude that ERAS is the way to promote maternal and neonatal healthcare through proper utilization of protocols and guidelines. Implementation of ERAS programmes along with continuous performance reports will help in improved delivery care of the both the mother and child.

Among the women during the time of pregnancy and childbirth the most common psychiatric morbidity seen is post natal depression. In order to reduce the effect of delivery on the mental health of mothers and also to increase the quality of life among such mothers numerous scales have been developed and one of such scale is Edinburgh Postnatal Depression Scale (EPDS) which is considered to be reliable and effective in diagnosing mothers who are at risk for Post Partum depression. The present comparative study was done at a tertiary care centre from December 2019 to February 2020. Study subjects were divided into two groups (Normal delivery and caesarean delivery) and a total of 40 study subjects were included in each group for the purpose of the study. Prevalence of postnatal depression measured by EPDS scale was high in caesarean sections compared to normal deliveries. In normal delivery group, 27.5% of subjects had postnatal depression and in caesarean group, 55% of subjects had postnatal depression. The p value was found to be significant for Post natal depression between both the groups.In the present study it was concluded that the post natal depression was more among the subjects who underwent caesarean section when compared to those who underwent normal delivery.