The Effect of ERACS (Enhanced Recovery After Cesarean Surgery) Method in Sectio Caesarea Delivery with Length of Stay

Abstract

Enhanced recovery after surgery (ERAS) is a concept that combines evidence-based aspects of perioperative care to accelerate patient recovery. One of the most common major surgeries in the world is the caesarean section where both elective and scheduled caesarean sections. Cesarean section births are associated with a longer hospital stay compared to vaginal births and most women are hospitalized for at least two days following a scheduled caesarean section. Enhanced Recovery After C-Section Surgery (ERAC) provides an evidence-based system to improve maternal recovery, accelerate mother-infant bonding, and postoperative patient experience. ERAC involves the efforts of a multidisciplinary team of anesthesiologists, obstetricians, nurses, hospitals, and patients. ERACS aims to standardize perioperative management and achieve reproducible quality of care improvements. Recent studies have proven that ERACS contributes to promoting optimal patient outcomes, reducing postoperative complications, accelerating postoperative recovery, and supporting faster patient discharge from the ward, which will directly result in lower costs. The principles involve interventions covering the preoperative, intraoperative, and postoperative periods and are expected to accelerate patient recovery from surgery and reduce hospital stays. ERACS is expected to reduce the impact of inadequate analgesia, slow return of bowel function, and delayed ambulation.