Measuring enhanced recovery in obstetrics: a narrative review

Ciechanowicz, S.; Ke, Janny Xue Chen; Sharawi, Nadir; Sultan, Pervez

doi:10.1016/j.xagr.2022.100152

Cited by 5 publications

(3 citation statements)

References 60 publications

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“…Although an enhanced recovery after surgery (ERAS) protocol has been developed to optimize maternal recovery after cesarean deliveries, there is much heterogeneity in the reported outcomes from studies assessing the impact of this protocol [22,23]. A core set of outcomes for the assessment of ERAS protocols after cesarean delivery has been proposed by an international consensus study [23].…”

Section: Maternal and Neonatal Outcomes: Cesarean Deliverymentioning

confidence: 99%

“…However, there is a shortage of high-quality evidence demonstrating the benefits of ERAS protocols for cesarean delivery [22,30]. Despite this, it has been hypothesized that small gains in related parameters synergistically provide statistically significant impacts on patient recovery [33].…”

Section: Impact Of the Eras Protocol After Cesarean Delivery On Mater...mentioning

confidence: 99%

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Innovations in Recovery Programs in Maternal and Neonatal Health: Experiences from a Hospital Network

2024

Gynecol Obstet Open Acc

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Background:The delivery of high-quality maternal and neonatal care is challenging in low-and middle-income countries. This study assesses a program aimed at offering evidence-informed care and enhancing service utilization. Methods: Data on the number of births, neonatal mortality, infant survival, maternal mortality, postpartum infection, pelvic floor damage, and breastfeeding were collected and analyzed retrospectively from the Cloudnine Hospital Network (CHN; encompassing 29 hospitals) from January 2007 to January 2023. The CHN's comprehensive maternity program covers pre-delivery, delivery, and post-delivery stages with mandated antenatal classes led by a multidisciplinary team to educate couples about pregnancy. Post-delivery support includes consultations with physiotherapists, lactation consultants, and nutritionists. Results: The CHN's program has resulted in negligible maternal and neonatal mortality rates (2 per 100,000 deliveries and 2 per 1,000 live births, respectively), and a 99.8% infant survival rate for those born after 28 weeks of gestation. Post-partum infection rates were only 0.6% and significantly lower than in national average. Pelvic floor damages were rare, and 95% of mothers were breastfeeding at discharge. Conclusion: The CHN's comprehensive care program effectively reduces maternal and neonatal mortality rates. This article highlights the critical aspects of optimal maternal and neonatal care based on the experiences of the CHN.

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Section: Maternal and Neonatal Outcomes: Cesarean Deliverymentioning

confidence: 99%

Section: Impact Of the Eras Protocol After Cesarean Delivery On Mater...mentioning

confidence: 99%

Innovations in Recovery Programs in Maternal and Neonatal Health: Experiences from a Hospital Network

2024

Gynecol Obstet Open Acc

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show abstract

“…Unfortunately, the traditional clinical criteria typically used to evaluate peripartum interventions focus only on a few morbidity variables, neglecting the overall recovery process. 1 , 2 To address this gap, patient-centred self-report scales have been developed for post-surgical recovery, which evaluate recovery in a holistic manner. However, these scales do not consider the unique aspects of obstetrics and are therefore not suitable for evaluating postpartum recovery.…”

mentioning

confidence: 99%