Enhanced Recovery After Cesarean: Current and Emerging Trends

Area of Science:

• Obstetrics and Gynecology
• Anesthesiology
• Surgical Recovery Science

Background:

• Post-cesarean delivery recovery has shifted towards a holistic, multidimensional approach focusing on rapid functional recovery.
• Enhanced recovery after cesarean delivery (ERAC) represents an evidence-based system to optimize patient care.

Purpose of the Study:

• To outline the latest enhanced recovery elements for cesarean delivery.
• To highlight the benefits of a multidisciplinary approach to postsurgical recovery.

Main Methods:

• ERAC protocols integrate preoperative patient education and optimized fasting protocols.
• Intraoperative and postoperative care emphasizes multimodal analgesia, including limited opioid use and scheduled non-opioid medications.
• Advanced pain management therapies are incorporated for high-risk patients.

Main Results:

• ERAC protocols significantly reduce opioid consumption and length of hospital stay.
• Evidence-based ERAC practices improve maternal outcomes, functional recovery, and maternal-infant bonding.
• Enhanced recovery strategies positively impact the overall patient experience.

Conclusions:

• Standardized ERAC care is a pivotal change for improving obstetric outcomes and quality of care.
• Implementing ERAC can help address racial disparities in maternal health.
• ERAC minimizes opioid exposure, reducing the risk of addiction and improving patient safety.