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Updated: Oct 7, 2025
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Effect of enhanced recovery after surgery for elective cesarean deliveries on neonatal outcomes
Sunny S Chiao1, Khadija K Razzaq2, Jessica S Sheeran3
1Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA. ssc4r@hscmail.mcc.virginia.edu.
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.
