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Effect of the implementation of an enhanced recovery after surgery protocol (ERAS) in patients undergoing an elective cesarean section.
Sordia Pineyro, Maria Ofelia; Villegas-Cruz, Carlos; Hernandez-Bazaldua, Magdalena; Pineyro-Cantu, Alfredo; Gaston-Locsin, Tracy; Sordia-Hernandez, Luis Humberto.
Afiliação
  • Sordia Pineyro MO; TEC Salud, Ignacio Morones Prieto, Monterrey, Mexico.
  • Villegas-Cruz C; TEC Salud, Ignacio Morones Prieto, Monterrey, Mexico.
  • Hernandez-Bazaldua M; TEC Salud, Ignacio Morones Prieto, Monterrey, Mexico.
  • Pineyro-Cantu A; TEC Salud, Ignacio Morones Prieto, Monterrey, Mexico.
  • Gaston-Locsin T; TEC Salud, Ignacio Morones Prieto, Monterrey, Mexico.
  • Sordia-Hernandez LH; Department of Gynecology and Obstetrics, University Hospital "Dr. José E. González", Autonomous University of Nuevo León, Monterrey N. L. Mexico. drsordia@gmail.com.
Ginekol Pol ; 94(2): 141-145, 2023.
Article em En | MEDLINE | ID: mdl-36853092
OBJECTIVES: To demonstrate that the application of an enhanced recovery after surgery (ERAS) protocol in elective cesarean sections is associated with reduced hospital stay without increasing maternal complications. MATERIAL AND METHODS: This retrospective, comparative study included patients who underwent an elective cesarean section. The patients were divided into groups: group 1, women who received elements of standardized care according to ERAS guidelines, and group 2, women who did not receive this care. RESULTS: The study included 295 patients, 139 in group 1 (ERAS) and 156 in group 2. The demographic characteristics were similar. Hospital stay and postoperative pain at 24 and 48 hours were lower in patients in group 1; these differences were statistically significant (p < 0.001). The overall complication rate, head pain, surgical wound infection, urinary retention, and readmission were similar in both groups. CONCLUSIONS: The application of an ERAS protocol can reduce hospital stay and postoperative pain without increasing the postoperative complication rate in patients who undergo an elective cesarean section. In developing countries, the application of this protocol could help in optimizing available health system resources.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cesárea / Recuperação Pós-Cirúrgica Melhorada Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Pregnancy Idioma: En Revista: Ginekol Pol Ano de publicação: 2023 Tipo de documento: Article País de afiliação: México País de publicação: Polônia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cesárea / Recuperação Pós-Cirúrgica Melhorada Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Pregnancy Idioma: En Revista: Ginekol Pol Ano de publicação: 2023 Tipo de documento: Article País de afiliação: México País de publicação: Polônia