Enhanced Recovery after Cesarean Section (CS) versus Conventional Care in a Lower Middle-Income Country: A Randomized Controlled Trial

Background: Enhanced recovery after surgery (ERAS) has been tested in a wide variety of surgeries with promising outcomes. However, there is need for standardized, evidence-informed approach to both the development new ERAS Society guidelines, and adaptation revision existing guidelines. Developing countries have limited resources deserve every effort improve economic status. Aim Study: evaluate perinatal maternal outcomes ERAS® versus routine care protocols women undergoing elective cesarean section (CS) lower middle-income country ranked as third most performing CS worldwide using multidisciplinary team (MDT) management. Design: A prospective randomized Controlled Trial. Setting: Outpatient department (OPD) labor ward at Woman’s Health hospital, Assiut University, Egypt. Participants: Healthy pregnant planned (300 women) were randomly divided into study group offered protocol control regular care. Results: Repeat was main indication groups without significant difference (89 cases (59.3%) 75 (50%) respectively). Other indications included cephalopelvic disproportion 17 (11%) 19 (12.6%), placenta previa 28 (18.6%) 34 (22.6%) cases, DM 11 (7%) (12.6%) others 5 (0.3%) 3 (2%) respectively. The took much less time eat walk. It had significantly pain levels postoperative problems, well greater women’s satisfaction shorter hospital stay (p = 0.001). Conclusions: Collaboration nursing, obstetricians anesthesiologists cornerstone successful CS. Significant better encourage expansion resources.