Sunny S Chiao1, Khadija K Razzaq2, Jessica S Sheeran3, Katherine T Forkin3, Sarah N Spangler3, Ziyad O Knio3, Ann L Kellams4, Mohamed Tiouririne3. 1. Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA. ssc4r@hscmail.mcc.virginia.edu. 2. University of Virginia School of Medicine, University of Virginia, Charlottesville, VA, USA. 3. Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA. 4. Department of Pediatrics, University of Virginia Health System, Charlottesville, VA, USA.
Abstract
OBJECTIVE: To evaluate the impact of initiation of an enhanced recovery after cesarean delivery (ERAC) protocol for elective cesarean delivery (CD) on neonatal outcomes. STUDY DESIGN: We performed a retrospective analysis of elective CD at ≥39 weeks gestational age between September 2014 and August 2018 at a single institution before and after ERAC protocol implementation. Our primary outcome was composite neonatal complication rate and secondary outcome was rate of breastfeeding. We performed univariate analyses to detect differences in outcomes between the pre-ERAC and post-ERAC groups. RESULTS: We included 362 neonates born via elective CD before (n = 135) and after (n = 227) ERAC implementation. The post-ERAC group experienced fewer composite neonatal complications (33.0% vs. 47.4%, p = 0.009) and greater breastfeeding rates (80.2% vs. 67.4%, p = 0.009) compared to the pre-ERAC group. CONCLUSION: ERAC protocol implementation does not negatively impact neonates and may benefit both mother and baby.
OBJECTIVE: To evaluate the impact of initiation of an enhanced recovery after cesarean delivery (ERAC) protocol for elective cesarean delivery (CD) on neonatal outcomes. STUDY DESIGN: We performed a retrospective analysis of elective CD at ≥39 weeks gestational age between September 2014 and August 2018 at a single institution before and after ERAC protocol implementation. Our primary outcome was composite neonatal complication rate and secondary outcome was rate of breastfeeding. We performed univariate analyses to detect differences in outcomes between the pre-ERAC and post-ERAC groups. RESULTS: We included 362 neonates born via elective CD before (n = 135) and after (n = 227) ERAC implementation. The post-ERAC group experienced fewer composite neonatal complications (33.0% vs. 47.4%, p = 0.009) and greater breastfeeding rates (80.2% vs. 67.4%, p = 0.009) compared to the pre-ERAC group. CONCLUSION: ERAC protocol implementation does not negatively impact neonates and may benefit both mother and baby.
Authors: A M Kleiman; C A Chisholm; A J Dixon; B M Sariosek; R H Thiele; T L Hedrick; B Carvalho; M Tiouririne Journal: Int J Obstet Anesth Date: 2019-08-21 Impact factor: 2.603
Authors: Lina Herstad; Kari Klungsøyr; Rolv Skjærven; Tom Tanbo; Lisa Forsén; Thomas Åbyholm; Siri Vangen Journal: BMC Pregnancy Childbirth Date: 2016-08-17 Impact factor: 3.007