Effect of Enhanced Recovery Program For Elective Caesarean Section Through Using Obstetric Quality-of-Recovery Score (Obsqor-10)

Abstract

Background: Caesarean sections are a familiar surgical technique, making up around one-third of all surgical operations in poor- and moderate -income countries. Programs for enhanced recovery after Cesarean section (ERAC) are infrequently used in settings with limited resources. The study aimed to evaluate the clinical effect of an enhanced recovery program on the postoperative quality of recovery among women undergoing elective cesarean section, utilizing the Obstetric Quality-of-Recovery (ObsQoR-10) score.
Materials and Methods: Quasi- experimental (control and study) research design was utilized. Setting: Study was conducted at postpartum unit, El Minia University Hospital. Sample: Purposive sample formed of 120 women undergoing elective CS that divided into study and control group. Tools: Three tools were used to collect data: A structured interviewing, Obstetric Quality of Recovery-10, and post CS outcomes questionnaire were used.
Results: .A significantly higher proportion of participants in the intervention group achieved good-quality outcomes compared to the control group (61.7% versus 5%, respectively; p < 0.001). Furthermore, post-operative complications were less frequent in the study group (3.3%) than in the control group (13.3%).
Conclusion: It was concluded that ERAC implementation can enhance maternal recovery after elective Caesarean section.
Recommendations: Given the steady increase in birth rates, ongoing strain on hospital resources, and rising healthcare costs, implementing an enhanced recovery after surgery (ERAS) protocol for elective cesarean sections has become essential.