Clinical Audit on the Quality of Care of Elective Caesarean Section
试验速览
- 阶段
- 不适用
- 入组人数
- 120
- 主要终点
- the percentage of compliance of care with ERAS society guidelines
研究概览
简要总结
- Measure compliance of the care of elective caesarean section with ERAS standards
- Measure the quality of recovery of women undergoing elective caesarean section
详细描述
Caesarean section is one of most common surgeries worldwide and in Egypt. The Egyptian Demographic and Health Survey 2014 revealed a rising caesarean section rate .
Many of these procedures are elective allowing time for preparation of the patient for surgery.
Enhanced recovery after surgery (ERAS) is a multimodal, multi disciplinary, evidence based approach to surgical care with an ultimate goal to enhance recovery and improve maternal and neonatal outcome .
This is done through optimizing multiple aspects of patient care to enhance recovery and so accelerate (facilitate) earlier discharge (decrease length of stay, decrease opioids use and encourage breastfeeding) .
A comparative study in Egypt found ERAS to be effective in controlling perioperative gastrointestinal symptoms, pain control and encourages early ambulation with offering earlier resumption of intestinal motility, higher satisfaction and fewer days of admission .
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women undergoing elective caesarean section in the study period
排除标准
- •Women who cannot apply ERAS protocol
- •emergency caesarean section
- •anticipated surgical difficulty e.g. placenta previa/accrete, tumors obstructing lower uterine segment
- •Severe maternal disease
- •severe intraoperative bleeding or visceral injuries necessitating modification of postoperative care
结局指标
主要结局
the percentage of compliance of care with ERAS society guidelines
时间窗: baseline
compliance of routinely provided care with ERAS society guidelines
次要结局
- Quality of recovery after elective caesarean section(baseline)
研究者
Youstina Tharwat Adeeb
Dr
Assiut University