Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) - 05/09/19
, Aaron B. Caughey, MD, PhD b, Stephen L. Wood, MD c, Ian J. Wrench, MB, ChB, PhD d, Jeffrey Huang, MD e, Mikael Norman, MD, PhD f, Karin Pettersson, MD, PhD g, William J. Fawcett, MBBS, FRCA, FFPMRCA h, Medhat M. Shalabi, MD i, Amy Metcalfe, PhD b, Leah Gramlich, MD j, Gregg Nelson, MD, PhD b, R. Douglas Wilson, MD, MSc bAbstract |
Background |
This Enhanced Recovery After Surgery Guideline for postoperative care in cesarean delivery will provide best practice, evidenced-based recommendations for postoperative care with primarily a maternal focus.
Objective |
The pathway process for scheduled and unscheduled cesarean delivery for this Enhanced Recovery After Surgery cesarean delivery guideline will consider time from completion of cesarean delivery until maternal hospital discharge.
Study Design |
The literature search (1966–2017) used Embase and PubMed to search medical subject headings that included “Cesarean Section,” “Cesarean Delivery,” “Cesarean Section Delivery,” and all postoperative Enhanced Recovery After Surgery items. Study selection allowed titles and abstracts to be screened by individual reviewers to identify potentially relevant articles. Metaanalyses, systematic reviews, randomized controlled studies, nonrandomized controlled studies, reviews, and case series were considered for each individual topic. Quality assessment and data analyses evaluated the quality of evidence, and recommendations were evaluated according to the Grading of Recommendations, Assessment, Development and Evaluation system as used and described in previous Enhanced Recovery After Surgery Guidelines.
Results |
The Enhanced Recovery After Surgery cesarean delivery guideline/pathway has created a pathway for postoperative care. Specifics include sham feeding, nausea and vomiting prevention, postoperative analgesia, nutritional care, glucose control, thromboembolism prophylaxis, early mobilization, urinary drainage, and discharge counseling. A number of elements of postoperative care of women who undergo cesarean delivery are recommended, based on the evidence.
Conclusion |
As the Enhanced Recovery After Surgery cesarean delivery pathway (elements/processes) are studied, implemented, audited, evaluated, and optimized by the maternity care teams, there will be an opportunity for focused and optimized areas of care and recommendations to be further enhanced.
Le texte complet de cet article est disponible en PDF.Key words : cesarean delivery, enhanced recovery
Plan
| The authors report no conflict of interest. |
|
| Cite this article as: Macones GA, Caughey AB, Wood SL, et al. Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3). Am J Obstet Gynecol 2019;221:247.e1-9. |
Vol 221 - N° 3
P. 247.e1-247.e9 - septembre 2019 Retour au numéro
Article précédent
- Clinical and molecular characterization of ovarian carcinoma displaying isolated lymph node relapse
- Robert L. Hollis, Juliet Carmichael, Alison M. Meynert, Michael Churchman, Amelia Hallas-Potts, Tzyvia Rye, Melanie MacKean, Fiona Nussey, Colin A. Semple, C. Simon Herrington, Charlie Gourley
- The effect of parity on longitudinal maternal hemodynamics
- Hua Zen Ling, Gavin P. Guy, Alessandra Bisquera, Liona C. Poon, Kypros H. Nicolaides, Nikos A. Kametas
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?