ERAS (Enhanced Recovery After Surgery) protocols in the care of obese pregnant women can reduce the length of hospital stay compared with standard care ERAS, Ceasarean section, obese, pregnancy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Women aged 15 - 45 years 2.Singleton pregnancy at term (gestational age 37- 42 weeks) 3.Undergoing elective cesarean section 4.Body mass index (BMI) > or = 25.0 kg/m2 (defined as obesity according to the World Health Organization Western Pacific Region, 2000) 5.Willing to provide informed consent to participate in the study
Exclusion criteria
Exclusion criteria: 1.Presence of severe and uncontrolled comorbidities before or during pregnancy, such as uncontrolled diabetes mellitus, hypertension, kidney disease, poorly controlled autoimmune diseases, preeclampsia with severe features, and eclampsia 2.History of allergy to non-steroidal anti-inflammatory drugs (NSAIDs)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of stay at hospital The time interval starting from the patient is entry into the operating room (Time in) until the time when the patient fulfills all predefined discharge criteria total day stay at hospital | — |
Secondary
| Measure | Time frame |
|---|---|
| Post-operative pain score 6 hours, 1 day and 2 days post-operation score by Visual analog scale ,Opioid used The time from post-operation (Time out) until the time when the patient fulfills all predefined discharge criteria milligrams,Time to flatus The time from post-operation (Time out) until the time when the patient fulfills all predefined discharge criteria hours,Urinary retention and recatheterization The time from post-operation (Time out) until the time when the patient fulfills all predefined discharge criteria Yes or No,Complication The time from post-operation (Time out) until 30 days post-operation Yes or No | — |
Countries
Thailand
Contacts
Lampang Hospital