Enhanced Recovery After Emergency Cesarean Section: A Comparative Study Assessing Postoperative Recovery and Outcomes

NCT07242924 | Not Yet Recruiting

• 1 other identifier: ERAS after emergency cs
• Study Type: observational
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

Cesarean section (CS) remains one of the most common major surgical procedures worldwide, with emergency CS accounting for approximately 30% of cases. Emergency CS presents unique challenges including increased maternal stress, higher complication rates, and prolonged recovery compared to elective procedures . Enhanced Recovery After Surgery (ERAS) protocols offer a promising approach to optimize outcomes in this population. Originally developed for colorectal surgery, ERAS principles have been successfully adapted to obstetric practice over the past decade. These evidence-based protocols emphasize multimodal interventions including preoperative counseling, optimized analgesia, early mobilization, and timely nutrition. In obstetrics, ERAS implementation has demonstrated reduced length of stay, decreased opioid use, and improved patient satisfaction for elective CS . Application of ERAS to emergency CS requires special considerations due to the urgent nature of the procedure. Modified protocols focus on rapid preoperative assessment, regional anesthesia with intrathecal opioids, and immediate postoperative care initiation . Emerging evidence suggests these adaptations maintain benefits while accommodating time constraints . Key outcomes include reduced postoperative pain, earlier return of bowel function, and improved breastfeeding rates . Current research demonstrates ERAS protocols can be safely implemented in emergency CS with proper staff training and institutional support . Ongoing studies continue to refine optimal practices, particularly regarding fluid management and thromboprophylaxis . As evidence accumulates, standardized guidelines for emergency CS ERAS pathways are expected to emerge .

Conditions

ERAS; Cesarean Section Pain

Keywords

ERAS; ERAS, emergency cs

Outcome Measures

Primary Outcomes (1)

• assess the obstetric ObQOR11scrore at 12 hours and 24 hours post-operative

  A data collection tool will be prepared for the study. After screening for eligibility, demographic factors, obstetric history. weight and gain, quality of previous cesarean scar if any, hemoglobin will be assessed for all patients. Observation of the outcomes will be recorded in the first phase of the study using a structured proforma and the Arabic version of ObQOR-11 score. Secondary outcomes measures include first oral intake, first abulation, first urination after catheter removal, passage of flatus and pain visual analog scale every 4 hours till discharge.

  From enrollment till discharge after 24 hours.

Secondary Outcomes (5)

• Secondary outcome

  During hospital stay up to discharge, typically within 24-48 hours postoperative

• Secondary outcome

  During hospital stay up to discharge, typically within 24-48 hours postoperative

• Secondary outcome

  During hospital stay up to discharge, typically within 24-48 hours postoperative

• Secondary outcome

  During hospital stay up to discharge, typically within 24-48 hours postoperative

• Secondary outcome

  During hospital stay up to discharge, typically within 24-48 hours postoperative

Study Arms (1)

Enhanced Recovery After Surgery protocol for emergency cesarean section

Application of ERAS protocol delivered perioperatively and postoperatively as per institutional ERAS guidelines.

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Pregnant patients admitted to Woman's Health hospital, Assiut university labor ward and post-partum.

You may qualify if:

• singleton pregnancy who undergoing emergency cesarean section after 34weeks and accepting to be included in the study.

You may not qualify if:

• Pregnant woman who had previous rupture uterus.
• Other medical disorders as hypertensive disorder during pregnancy, cardiac disease.
• Intra-operative complications necessitating changes in post-operative care e.g. bowel injury, urinary tract injury.
• Hemodynamically unstable (post-partum hemorrhage)

Sponsors & Collaborators

• Assiut University: lead

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Resident physician

Study Record Dates

• First Submitted: November 14, 2025
• First Posted: November 21, 2025
• Study Start: December 1, 2025
• Primary Completion (Estimated): December 1, 2027
• Study Completion (Estimated): December 1, 2028
• Last Updated: November 21, 2025

Record last verified: 2025-11