Health Condition 1: 1- Obstetrics
Conditions
Interventions
Intervention1: Educational Intervention: The ERAS – 10 protocol will be implemented in this phase over a period of 6 months. At the end of every month, the team would conduct a series of plan-do- stud
Sponsors
JIPMER
Eligibility
Inclusion criteria
Inclusion criteria: Pregnant women aged between 18-45 years with a singleton pregnancy at term and scheduled for elective caesarean section under regional analgesia at JIPMER
Exclusion criteria
Exclusion criteria: 1. Pregestational / gestational diabetes on insulin 2. Pre-eclampsia with severe features 3. Suspected sepsis in the antepartum period 4. Maternal heart disease which comes under modified WHO class III/IV 5. Major degree placenta praevia/placenta accreta spectrum
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To implement ten key components of ERAS among pregnant women undergoing elective caesarean section at term and to target achieving 80% Day 2 (D2) discharge from the hospital, compared to the baseline rate of 10% over a period of one year.Timepoint: 48 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| To study the impact of the implementation of ERAS among pregnant women undergoing elective caesarean section at term in JIPMER on the following outcomes before and after implementation of ERAS: 1. Initiation of early breastfeeding 2. Usage of opioid-sparing analgesia in the immediate postoperative period 3. Composite adverse maternal outcome (SSI, UTI, nausea/vomiting, paralytic ileus) 4. Length of hospital stay 5. Readmission rate within four weeks after discharge from the hospital Timepoint: 48 hours | — |
Countries
India
Contacts
Public ContactDr Aswini Kuberan
JIPMER
Outcome results
None listed