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Dr. Afaf Mohamed Mohamed Emam :: Publications:

Title:
Implementing Enhanced Recovery Pathway after surgery Protocol forWomen Undergoing Cesarean section delivery
Authors: Afaf Mohamed Mohamed Emam1 & Eman Mohamed Abd Elhakm2 Nageya Ezzat Said 3
Year: 2021
Keywords: Enhanced, recovery pathway, surgery, protocol, cesarean delivery
Journal: Egyptian Journal of Health Care
Volume: 12
Issue: 3
Pages: 1925-1944
Publisher: Afaf Mohammad Emam
Local/International: Local
Paper Link: Not Available
Full paper Afaf Mohamed Mohamed Emam_6 af.pdf
Supplementary materials Afaf Mohamed Mohamed Emam_6 af.pdf
Abstract:

Background. Women experiencing cesarean section delivery tends to have several problems, soassisting mothers in coping with and solving these problems as well as improving their practice maycontribute to decreasing length of stay, reduce post operative complications and achieve earlyrecovery.Aim: to investigate the effect of ERAS pathway protocol on postoperative outcomes for women undergoing cesarean delivery. Study design: A quasi-experimental design was used. Setting: The study was conducted at Obstetrics and Gynecology department of Benha University Hospital, Benha City, Egypt. Sampling: A convenient sample of 50 nurses and a purposive sample of 200women undergoing elective-CS divided into two equal groups (100 women were assigned to studygroup and 100 women in control group who) were used. Tools: five tools were used for collectingdata, for nurse: 1) self-administered questionnaire 2) observational checklist: for post cesareansection women: 3) A structured interviewing questionnaire. 4) Clinical Pathway Observationchecklist. 5) Visual Analogue Scale for pain measurement. Results: The current study shows highlystatistically significant differences observed between the study and the control group regarding post- cesarean improvement indicators as the study group were more likely experiencing early oral intake(85%), early ambulation ( 95%), early initiated of breast feeding( 77%), less mean score of pain (98%), as well as decreasing the incidence of health problems and post-cesarean complications in the post-operative period, less likely to have shorter mean period for length of stay and suture removal than the control group(P

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