Optimizing Postoperative Outcomes: Postoperative Nausea and Vomiting Reduction Through Enhanced Recovery After Elective Cesarean Section (ERACS) | ||||
| Minia Journal of Medical Research | ||||
| Articles in Press, Accepted Manuscript, Available Online from 27 July 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2025.403486.2027 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Marwa Abdelrehim Attia Mohamed  
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| Anesthesia and Icu department faculty of medicine Minia University Egypt | ||||
| Abstract | ||||
| Abstract Background: Enhanced Recovery After Cesarean Section (ERACS) protocols aimed to reduce complications like postoperative nausea and vomiting (PONV) through strategies such as multimodal analgesia, reduced opioid use, and early ambulation. Objective: To explore the role of ERACS in the reduction of PONV following CS. Methods: This prospective randomized controlled study was carried out on 106 pregnant females undergoing elective CS. Patients were divided into two equal groups: Group A (ERACS protocol) and Group B (traditional anesthetic and surgical techniques) in EL Minia university hospital without implementation of ERAS protocol. The primary outcome was the PONV impact score at 0hr, 6 hr, 24hr or at time of discharge. The secondary outcomes were assessment of postoperative visual analogue scale (VAS) at 0hr,2hr, 4hr, 6hr, 8hr, 12hr and 18hr or at time of discharge, total postoperative opioid consumption, presence of ileus, time needed to reach criteria of discharge and overall patient satisfaction. Results: As regards PONV there was a significant decrease in the incidence of PONV in group A compared to group B this decrease started postoperatively at 0hr, 6 hr and at time of discharge (p<0.01) postoperatively was detected. There were significant decreases in VAS, opioid consumption, ileus incidence and time to reach criteria of discharge between group A and group B (p<0.01) was detected. There was a significant increase in overall patient satisfaction in group (A). Conclusions: Implementing ERACS significantly had positive maternal outcomes evidenced | ||||
| Keywords | ||||
| Keywords: postoperative nausea and vomiting; Enhanced recovery after cesarean section; maternal outcomes | ||||
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