How does the ERAS protocol work in patients who underwent cesarean section? (HERMES study)

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dc.authorid0000-0001-7339-9081
dc.contributor.authorÖzgün Uyanıklar, Özlem
dc.contributor.authorTürk, Pınar
dc.contributor.authorAslan, Kiper
dc.contributor.authorKülahçı Aslan, Elif
dc.contributor.authorÖzden, Okan
dc.contributor.authorGürlüer, Jale
dc.contributor.authorOrhan, Orhan
dc.contributor.authorVural, Nazlı Aylin
dc.contributor.authorKılık, Tuğba
dc.contributor.authorKasapoğlu, Işıl
dc.contributor.authorUncu, Gürkan
dc.date.accessioned2023-09-25T10:43:11Z
dc.date.available2023-09-25T10:43:11Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractObjective To assess the effect of the enhanced recovery after surgery (ERAS) protocol for cesarean deliveries (CD) on postoperative outcomes. Methods This multicenter prospective cohort study was conducted in six different centers between September 2020 and March 2021 and involved women who underwent either planned or unplanned CD. The primary outcome was time to the first passage of flatus following CD. Secondary outcomes included postoperative pain score, postoperative complications, and patient satisfaction. The protocol included early postoperative oral intake of ice cream and coffee, multimodal analgesia, antiemetic medications, and early ambulation. Results A total of 448 patients were included. The median time to the first passage of flatus was 10 h in the Hermes group and 18 hours in the control group (P < 0.001). Postoperative visual analog scale scores were significantly higher in the control group. Patient satisfaction scores and the frequency of postoperative complications did not differ between the groups (P = 0.08, P = 0.604, respectively). Conclusions The ERAS protocol, including early serving of ice cream and coffee in the early postoperative period, enabled early discharge and a faster return of bowel function. Implementation of the ERAS protocol for patients who underwent planned and unplanned CD appeared to be safe and effective.
dc.identifier.citationÖzgün Uyanıklar, Ö., Türk, P., Aslan, K., Külahçı Aslan, E., Özden, O., Gürlüer, J. ... Uncu, G. (2023). How does the ERAS protocol work in patients who underwent cesarean section? (HERMES study). International Journal of Gynecology and Obstetrics, 161(1), 168-174. https://doi.org/10.1002/ijgo.14420
dc.identifier.doi10.1002/ijgo.14420
dc.identifier.endpage174
dc.identifier.issn0020-7292
dc.identifier.issn1879-3479
dc.identifier.issue1
dc.identifier.pmid35986613
dc.identifier.scopus2-s2.0-85137580415
dc.identifier.scopusqualityQ1
dc.identifier.startpage168
dc.identifier.urihttps://doi.org/10.1002/ijgo.14420
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11492
dc.identifier.volume161
dc.identifier.wos000849713800001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKılık, Tuğba
dc.language.isoen
dc.publisherJohn Wiley and Sons Ltd
dc.relation.ispartofInternational Journal of Gynecology and Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCesarean Delivery
dc.subjectEnhanced Recovery After Surgery
dc.subjectMaternal Outcomes
dc.titleHow does the ERAS protocol work in patients who underwent cesarean section? (HERMES study)
dc.typeArticle

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