Impact of Enhanced Recovery After Surgery Protocol on Maternal Recovery Patient Satisfaction and Length of Hospital Stay Following Cesarean Delivery in Women With Placenta Previa
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 主要终点
- Length of hospital stay
研究概览
简要总结
This study aims to evaluate the impact of Enhanced Recovery After Surgery protocols on maternal outcomes patient satisfaction and length of hospital stay following cesarean delivery in women with placenta previa. Women scheduled for elective cesarean delivery for placenta previa will be managed either with a standardized ERAS pathway or with conventional routine perioperative care.
详细描述
Placenta previa is associated with significant maternal morbidity and prolonged hospitalization. Enhanced Recovery After Surgery pathways include patient education preoperative fasting optimization multimodal analgesia early oral intake early mobilization and early urinary catheter removal. This prospective study will include women with singleton pregnancy and sonographic diagnosis of placenta previa scheduled for elective cesarean delivery at Assiut University Hospital. Group A will receive ERAS pathway and Group B will receive conventional care. Outcomes including length of hospital stay postoperative pain time to ambulation time to oral intake and patient satisfaction will be compared.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Singleton pregnancy
- •Sonographic diagnosis of placenta previa
- •Scheduled for elective cesarean delivery
- •Ability to provide informed consent
排除标准
- •Severe medical diseases affecting postoperative recovery including hypertension and diabetes mellitus
- •Hemodynamic instability before surgery
- •ICU admission immediately after surgery
- •Refusal to participate
研究组 & 干预措施
ERAS Group
Women managed according to the standardized ERAS pathway including preoperative education fasting 2 hours for clear fluids multimodal analgesia early oral intake early mobilization and early urinary catheter removal
干预措施: Enhanced Recovery After Surgery Protocol (Other)
Conventional Care Group
Women managed with routine perioperative care currently practiced in the department
干预措施: Conventional perioperative care (Other)
结局指标
主要结局
Length of hospital stay
时间窗: Up to 7 days
Duration of hospital stay measured in hours from end of cesarean delivery to hospital discharge
次要结局
- Postoperative pain score at 6 hours(At 6 hours after surgery)
- Postoperative pain score at 24 hours(At 24 hours after surgery)
- Time to first ambulation(Up to 48 hours)
- Time to first oral intake(Up to 24 hours)
- Time to urinary catheter removal(Up to 48 hours)
- Postpartum hemorrhage(Up to 24 hours)
- Requirement for blood transfusion(Up to 7 days)
- Patient satisfaction score(At 24 hours after surgery)
研究者
Ahmed Mostafa Adly Embaby
Resident Physician
Assiut University