American Journal of Obstetrics and Gynecology
Special ReportGuidelines for Antenatal and Preoperative care in Cesarean Delivery: Enhanced Recovery After Surgery Society Recommendations (Part 1)
Section snippets
Literature search
The author group was selected and vetted by the ERAS Society Guideline Committee in May 2017 based on international expertise in the area, and a consensus ERAS CD–enhanced recovery topic list was determined. The ERAS Gynecologic/Oncology guidelines5, 6 were used as templates; however, several other elements unique to cesarean section delivery were added. After the topics were agreed on, they were then allocated among the group according to expertise. The literature search (1966–2017) used
Antenatal and preoperative ERAS CD topics (Part 1)
The cesarean delivery pathway and the process elements have a wider scope for the maternal antenatal and preoperative-natal care and can be considered within the ERAS CD pathways.
The preoperative pathway is a focused pathway that starts 30–60 minutes before the cesarean incision and ends at maternal (fetal) discharge from hospital, which allows for a more consistent and generalizable ERAS CD process that includes the same comprehensive care to both unscheduled and scheduled cesarean delivery.
An
Comment
In North America, the most common indication to be admitted to hospital is childbirth, and the most common surgery is a cesarean delivery. With this clinical volume of obstetric surgical activity, it seems appropriate that the ERAS process be applied to this surgical care area because there are always ≥2 patients (mother and fetus[es]) impacted.
There are quality, industry-based “Deming Principles” that can be directed toward healthcare process management72: quality improvement is the science of
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The authors report no conflict of interest.