Eras in cesarean section: A paradigm shift

Background: Caesarean section is a common surgical procedure that can have a significant impact on a woman's health and well-being. Traditional approaches to caesarean section often involve prolonged hospital stays, extended fasting, delayed mobilization, and conventional pain management, leading to longer hospital stays and higher complication rates. Enhanced Recovery after Surgery (ERAS) protocols, offer a multidisciplinary approach that includes preoperative counseling, optimized nutrition, multimodal analgesia, and early mobilization to expedite recovery and reduce complications and reduce the hospital stay. While ERAS has shown benefits in various surgical fields, its impact on Obstetrical surgeries remains less-explored.Methods: This was A prospective comparative study which was conducted in the Department of Obstetrics and Gynecology at Sri Siddhartha Medical College and Hospital, Tumkur, during the period from January 2024 to August 2024, for period of 8 months among the women admitted and undergoing Scheduled caesarean sections in the department of OBG as per the inclusion and exclusion criteria after proper counselling and after getting their consent.Interpretation: The ERAS group demonstrated a significantly shorter hospital stay compared to the traditional care group. Pain scores were seen to be lower in the ERAS group & postoperative complications were also reduced in the ERAS group. Leading to better patient satisfaction in ERAS as compared to Traditional Group.Conclusion: Our study concludes that Implementation of ERAS resulted in significant reduction in hospital stay, proper pain management & reduced rate of complications without an increase in re-admissions.