Benha University

Afaf Mohamed Mohamed Emam

Professor

Faculty of Nursing Maternal and Newborn Health

Implementing Enhanced Recovery Pathway after surgery Protocol forWomen Undergoing Cesarean section delivery

Egyptian Journal of Health Care • 2021
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Publication Information
Authors Afaf Mohamed Mohamed Emam1 & Eman Mohamed Abd Elhakm2 Nageya Ezzat Said 3
Keywords Enhanced, recovery pathway, surgery, protocol, cesarean delivery
Journal Egyptian Journal of Health Care
Publisher Afaf Mohammad Emam
Volume 12
Issue 3
Pages 1925-1944
publication.type Local
Paper Link Not Available
Supplementary Materials Afaf Mohamed Mohamed Emam_6 af.pdf
Abstract
Background. Women experiencing cesarean section delivery tends to have several problems, soassisting mothers in coping with and solving these problems as well as improving their practice maycontribute to decreasing length of stay, reduce post operative complications and achieve earlyrecovery.Aim: to investigate the effect of ERAS pathway protocol on postoperative outcomes for
women undergoing cesarean delivery. Study design: A quasi-experimental design was used. Setting:
The study was conducted at Obstetrics and Gynecology department of Benha University Hospital, Benha City, Egypt. Sampling: A convenient sample of 50 nurses and a purposive sample of 200women undergoing elective-CS divided into two equal groups (100 women were assigned to studygroup and 100 women in control group who) were used. Tools: five tools were used for collectingdata, for nurse: 1) self-administered questionnaire 2) observational checklist: for post cesareansection women: 3) A structured interviewing questionnaire. 4) Clinical Pathway Observationchecklist. 5) Visual Analogue Scale for pain measurement. Results: The current study shows highlystatistically significant differences observed between the study and the control group regarding post- cesarean improvement indicators as the study group were more likely experiencing early oral intake(85%), early ambulation ( 95%), early initiated of breast feeding( 77%), less mean score of pain (98%), as well as
decreasing the incidence of health problems and post-cesarean complications in the post-operative period, less likely to have shorter mean period for length of stay and suture removal than the control group(P
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