IMPLEMENTATION OF ERAS PROTOCOLS FOLLOWING ELECTIVE CAESAREAN SECTION BY OBSTETRICEAN IN SOUTH INDIA

Objective: Enhanced Recovery After Surgery (ERAS) is one of the new concepts in the post operative care in which multidisciplinary approach has implemented for the speedy recovery of the patients. In the present study, ERAS protocol was followed in the C-section patient. In this observational study, 55 patients were recruited, and Materials & Methods: counselling was given to the patients about the ERAS protocol. In the preoperative wards, parameters such as hypertension, glucose, haemoglobin levels were checked. In Obese patient care has taken place for not gaining much weight during the pregnancy period. In the Intra operative ward care was taken in the following sections. Prophylactics antibiotics were given to the patient, in the surgical site antiseptic solution were used to clean the area, IV uids less than 3 litres were given to maintain the normothermia and euvolemia. Warm IVF were given to the patients to prevent hypothermia. To minimize the hypotension induced by spinal anaesthesis, antiemitics and vasopressin were given. After the surgery the patients were reviewed for early oral intake, bowel movements, blood glucose control for wound healing, early mobilisation, and ambulation within rst 8 hours, time for removal of urinary catheter and mother infant bonding. The study showed that more than 75% of the patients showed early mobilisation, ambulation and urinary catheter was removed within 6-12 hours for 76% of the patients. ERAS protocol increased the bonding between the mother and the infant (96%). Thus adapting ERAS protocol in OBG ward will provide improved recovery following surgery.