EVALUATION OF THE IMPLEMENTATION OF THE ERAS PROTOCOL AFTER CESAREAN SECTION
Authors/Creators
- 1. ICU of the Maternity Service, Department of Resuscitation and Anesthesia, University Hospital Ibn Rochd, Casablanca, Morocco.
Description
Objective: To evaluate the effects of implementing an Enhanced Rehabilitation After Surgery (ERAS) protocol in patients who have undergone caesarean section, compared to standard management.
Methods: Prospective, comparative and single-center study including 470 patients divided into two groups: ERAS group (n=230) and control group (n=240). The outcomes included: pain management, time to resumption of feeding and mobility, length of hospital stay, post-operative complications, and satisfaction.
Results: The ERAS protocol allowed for faster recovery: removal of the urinary catheter at 2:47 a.m. vs. 8:50 a.m., resumption of liquid feeding at H3 (vs. H9) and solid food at H6 (vs. H23), first rise at H10 (vs. H22). Pain management was significantly better in the ERAS group, with reduced opioid use. The average duration of hospitalization was slightly shorter (48 hours vs. 52 hours). No increased risk of complications was observed.
Conclusion: The ERAS protocol significantly improves post-caesarean section recovery without increasing the risks, while promoting a more positive experience for patients.
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