Effect of Implementing Enhanced Recovery After Surgery Pathway for Women Undergoing Cesarean Section on Maternal Outcomes and Satisfaction | ||||
| Egyptian Journal of Health Care | ||||
| Volume 14, Issue 4, December 2023, Page 1561-1580 PDF (480.25 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2023.374873 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Isis Emile Gohar1; Heba Saied Ibrahim Ali2; Neama Saad Mahmoud Shoukhba2 | ||||
| 1Assist. Prof, Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt. | ||||
| 2Lecturer, Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt. | ||||
| Abstract | ||||
| The enhanced recovery after surgery (ERAS) pathway is a multidisciplinary approach and evidencebased strategy to enhance clinical services throughout the perioperative period. This study aimed to determine the effect of implementing an enhanced recovery after surgery pathway for women undergoing cesarean section on maternal outcomes and satisfaction. Research design: A nonrandomized controlled clinical trial research design was conducted at the obstetric and gynecologic inpatient and post-cesarean section wards at El-Shatby Maternity University Hospital in Alexandria Governorate. A sample of 80 women was conveniently assigned to two groups ,40 for each . A control group received routine hospital care, and a study group for whom ERAS was implemented. Data were collected by the post-cesarean maternal outcome assessment sheet, the visual analog scale, and women’s satisfaction with ERAS. Results: A highly statistically significant difference was detected among women in the control and experimental groups in relation to their intensity of post-caesarean pain immediately and at discharge as measured by the visual analog scale (VAS), where p = 0.001 and p = 0.001, respectively. In addition, highly statistically significant differences were found among the study and control groups, where p = 0.001, respectively, in favor of the study group regarding maternal outcomes such as length of hospital stay, occurrence of nausea, vomiting, hypoglycemia, and hypotension, presence of flatulence, getting out of bed, initiation of breast feeding, and need for analgesics. Conclusion: Implementing ERAS significantly had positive maternal outcomes, as well as improving the level of maternal satisfaction with the intervention. Recommendations: The ERAS pathway should be recommended for women undergoing cesarean sections to improve their maternal outcomes post-surgery | ||||
| Keywords | ||||
| Enhanced recovery after surgery pathway; Cesearean section; Maternal outcomes; Satisfaction | ||||
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