Comparison of a Modified Enhanced Recovery After Surgery Protocol with the Standard Protocol in Emergency Cesarean Deliveries: A Randomized Controlled Trial

Comparison of a Modified Enhanced Recovery After Surgery Protocol with the Standard Protocol in Emergency Cesarean Deliveries: A Randomized Controlled Trial | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 26 May 2025 V1 Latest version Share on Comparison of a Modified Enhanced Recovery After Surgery Protocol with the Standard Protocol in Emergency Cesarean Deliveries: A Randomized Controlled Trial Authors : Pornpimon Nittiwatthanawit [email protected] and Pornnapa Suriyachai Authors Info & Affiliations https://doi.org/10.22541/au.174825223.34200321/v1 Published Clinical and Experimental Obstetrics & Gynecology Version of record Peer review timeline 198 views 92 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Background: The effectiveness of the Enhanced Recovery After Surgery (ERAS) protocol in elective cesarean deliveries (CD) is well established. Its applicability and safety in emergency CD remain unclear and require further investigation. Objective: This study aimed to evaluate postoperative recovery in pregnant women who underwent emergency CD. The recovery process was assessed using the Quality of Recovery questionnaire (QoR-35, Thai version) and pain scores measured by the Visual Analog Scale (VAS), comparing the modified ERAS (mERAS) protocol to the standard protocol. Materials and Methods: Fifty pregnant women were enrolled in a randomized controlled trial conducted at the medical education center of Phayao Hospital. The primary outcomes were the 24-hour QoR-35 score and the 48-hour VAS score. Additional parameters, including postoperative hospitalization duration, opioid use, and the onset of gastrointestinal functions, were also assessed. The analysis further considered postoperative complications such as fever, wound dehiscence, and readmission. Results: The mERAS group showed a significant reduction in 48-hour postoperative VAS scores (mean (SD): 4.0 (1.7) vs. 5.0 (1.3); mean difference: 1.0, 95% CI 0.14, 1.86, p = 0.024). No significant differences were observed between the two groups in assessments conducted at 24 hours or immediately postoperatively across all parameters. The mERAS group experienced shorter hospitalization (p = 0.017), earlier onset of burping (p = 0.049), and earlier onset of flatulence (p = 0.011). Neither group required additional opioid administration or experienced postoperative complications such as fever, wound dehiscence, or readmission. Conclusion: The implementation of a modified ERAS protocol effectively reduced VAS pain scores within 48 hours postoperatively, shortened hospitalization duration, and improved patient outcomes without increasing morbidity or surgical complications in patients undergoing emergency cesarean delivery. Supplementary Material File (manuscript table.docx) Download 40.13 KB File (manuscript8.docx) Download 53.21 KB Information & Authors Information Version history V1 Version 1 26 May 2025 Peer review timeline Published Clinical and Experimental Obstetrics & Gynecology Version of Record 22 Oct 2025 Published Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords delivery: caesarean section general obstetrics Authors Affiliations Pornpimon Nittiwatthanawit [email protected] Phayao Hospital View all articles by this author Pornnapa Suriyachai Phayao Hospital View all articles by this author Metrics & Citations Metrics Article Usage 198 views 92 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Pornpimon Nittiwatthanawit, Pornnapa Suriyachai. Comparison of a Modified Enhanced Recovery After Surgery Protocol with the Standard Protocol in Emergency Cesarean Deliveries: A Randomized Controlled Trial. Authorea . 26 May 2025. DOI: https://doi.org/10.22541/au.174825223.34200321/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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