The Challenges of Implementing The Eras Protocol in Obstetrics and Gynecology

Enhanced recovery after surgery (ERAS) refers to a comprehensive, multidisciplinary, evidence-based perioperative care pathway designed to minimize surgical stress and accelerate postoperative recovery. Initially adopted in colorectal surgery, the ERAS framework has expanded to multiple fields, including obstetrics and gynecology. However, as with any significant shift in clinical practice, there are challenges to be addressed, successfully incorporating ERAS principles into everyday care requires institutions to adjust protocols, restructure care pathways, and involve multiple stakeholders. This review discusses the key barriers to implementing the ERAS protocol in OB/GYN settings and explores potential solutions.