An enhanced recovery programme after caesarean delivery increases maternal satisfaction and improves maternal-neonatal bonding: A case control study

Laronche, Anne; Popescu, Luiza; Benhamou, Dan

doi:10.1016/j.ejogrb.2016.12.034

Cited by 34 publications

(28 citation statements)

References 20 publications

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“…Fifty-two percent (52%) were found to be drunk in the postoperatory recovery room; this result was supported by Deniau et al 6 But, it was superior to other studies around 10% to 38%. 1,2,9 But it was less than Cattin et al 5 Deniau et al showed a technical organization defect was the difficult barrier. 6 Early feeding was 45%.…”

Section: Discussionmentioning

confidence: 99%

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Enhanced Recovery after Caesarian Section, Madagascar

Raelison¹,

Rabarikoto²,

Rahanitriniaina³

et al. 2019

IHRJ

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Introduction: Few hospital practice enhanced recovery after caesarian section. Our aims is to evaluate the application of enhanced recovery after caesarian section after implementation in our service. Materials and Methods : An observational audit prospective was conducted, from November 2018 to January 2019, in the complex mother-child Military Hospital, Antsiranana. Patients between 18 to 35 years, ASA 1 or 2 before surgery were included. General anesthesia procedures are excluded. Results: Thirty-one patients were identified. Each received antiotic prophylaxis and prevention of postoperative nausea/ vomiting and intratechal morphine. Fluid infusion was optimized in 18 patients. In post-interventional recovery room, multimodal analgesia were given orally after the intervention in 15 patients (48%), Sixteen (52%) cases drunk. Forty-four patients (45%) ate food four hour after intervention. Stop infusion performed in 13 cases (42%). The bladder catheter removed in 13 patients (42%). The median length of stay was 3.5 days. Conclusion : Early food, removal of the bladder catheter and the infusion stop have low compliance to the protocol. An audit and formation were needed.

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Section: Discussionmentioning

confidence: 99%

“…5 Laronche et al have applied this protocol in 70%. 9 This discordance could be explained by the fear of urinary retention and the maintenance of intravenous infusion.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Recovery after Caesarian Section, Madagascar

Raelison¹,

Rabarikoto²,

Rahanitriniaina³

et al. 2019

IHRJ

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“…Cautious interpretation is needed due to small sample size, but there was no association between the patients' perception of an appropriate LOS and the actual LOS. On the other hand, a general increase in satisfaction was reported in relation to a shorter LOS implied by ERAS programs 40 . More information on patients’ perceived readiness for discharge is needed.…”

Section: Discussionmentioning

confidence: 99%

Length of hospital stay after cesarean section in Denmark from 2004 to 2016: A national register‐based study

Kruse

Arendt

Jakobsen

et al. 2020

Acta Obstet Gynecol Scand

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Introduction Length of hospital stay after birth has decreased during the last decades, but nationwide data on length of hospital stay after cesarean section are lacking. Elements of Enhanced Recovery Programs were reported to reduce the length of hospital stay. The aim of this nationwide study was to describe the length of hospital stay after cesarean section in Denmark from 2004 to 2016 taking into account birth‐ and health‐related factors as well as demographic changes and, further, to assess potential differences between the five Danish regions. Material and methods Length of hospital stay was assessed in 164 209 deliveries by cesarean section in Denmark from 2004 to 2016. Data were obtained from the Danish National Patient Register. All deliveries by cesarean section at gestational age <22 weeks were excluded. Median length of hospital stay was reported based on crude and adjusted analyses. Results The median length of hospital stay was significantly reduced by 39 hours (95% confidence interval [CI] 37.9‐40.1), from 97 hours (4.0 days) in 2004 to 58 hours (2.4 days) in 2016. Reductions were observed among both planned and emergency cesarean sections. When birth‐ and health‐related factors as well as demographic changes were accounted for, median length of hospital stay was reduced by 30 hours (95% CI 29.3‐30.8) in the period. The decrease in length of hospital stay from 2004 to 2016 varied between the five Danish regions, with adjusted reductions between 19 and 46 hours. Conclusions A nationwide decrease in length of hospital stay after cesarean section was observed from 2004 to 2016 across all five regions but with significant regional variations. Further studies on the optimal length of hospital stay are needed, especially with regard to implementation of enhanced recovery programs.

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“…Good management of pain can improve the mother and baby bonding. Physical contact between the mother and the baby during childbirth is essential for the development of this bonding [5]. The idea of the enhanced recovery program (ERP) after the surgery was emerged more than 15 years ago [6][7].…”

Section: Introductionmentioning

confidence: 99%

Enhanced Recovery Program after Cesarean Section in Sulaimani Maternity Teaching Hospital

Mohammed

Jawad

Murad

2020

KJAR

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Enhanced recovery program (ERP) for cesarean section (C/S) is improving patient health and is cost-effective for healthcare providers. We aimed to assess how ERP improves patient satisfaction, ambulation time, severity of pain, decrease hospital stay among patients attending Sulaimani Maternity Teaching Hospital and fetal outcome. A quasi-experimental study was performed on 200 patients in Sulaimani from June 2019 to December 2019. The participants divided into two equal groups. The intervention group was 100 women who underwent elective C/S in Sulaimani Maternity Teaching Hospital and subjected to ERP. While the control group was the other 100 women who were not subjected to the ERP, and they were from the Emergency Department of the same hospital. The women in the intervention group were supervised by anesthetists from preoperatively, intraoperatively, through postoperatively. The intervention group showed significantly better outcome regarding time to ambulate; all patients were able to ambulate 4-5 hours postoperatively. Also, the duration of hospital stay was better in the intervention group; all the patients discharged before 24 hours, but five patients in the control group discharged after 24 hours. Besides, fetal Apgar score after five minutes was also better in the intervention group; at the first minute, the mean±SD (standard deviation) of Apgar score was 8.36±1.38 and 8.08±1.69 for the intervention, and control groups, respectively (P-value = 0.2). While at five minutes, the mean±SD of Apgar score was 9.59±064, and 8.96±1.12 for the intervention, and control groups, respectively (P-value = <0.001). This intervention had favorable outcomes regarding pain, time of ambulation, and fetal Apgar score. We recommend implementing ERP at a broader scale as it gives better outcomes.

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An enhanced recovery programme after caesarean delivery increases maternal satisfaction and improves maternal-neonatal bonding: A case control study

Cited by 34 publications

References 20 publications

Enhanced Recovery after Caesarian Section, Madagascar

Enhanced Recovery after Caesarian Section, Madagascar

Length of hospital stay after cesarean section in Denmark from 2004 to 2016: A national register‐based study

Enhanced Recovery Program after Cesarean Section in Sulaimani Maternity Teaching Hospital

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