Research objective to compare outcome(Length of stay, pain score, opioid drug use, Bowel function and complication ) of ERAS protocol and conventional care in pregnant women after elective cesarean section in Rajavithi hospital.
Research design is Randomized control trial. The pregnant women who go to elective cesarean section don't know the allocation. The group of ERAS protocol was separated from Conventional care in patient care unit. The Pregnant are randomly in two group. In the ERAS group the pregnant receive the the intervention for preoperative care(Counselin, H2- antagonist and metroclopramide for prevent aspiration, Drink clear liquid until 2 hour before surgery), Intraoperative care (first generation cephalosporin in 60 minute before surgery, Clorhexidine for skin cleansing and Povidine for vaginal cleansing, regional anesthesia, keep warming, blunt expansion of uterine incision, do not peritoneal suture and subcuticular suture if less than 2 cm, local wound anesthesia.), post operative care ( Paracetamol and NSAIDs for for pain control, early remove catheter and ambulation, 5-HT3 antagonist for prevent nausea)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
80
* Counseling * H2- antagonist and metroclopramide for prevent aspiration * Drink clear liquid until 2 hour before surgery * First generation cephalosporin in 60 minute before surgery * Clorhexidine for skin cleansing and Povidine for vaginal cleansing * Regional anesthesia * Keep warming * Blunt expansion of uterine incision * Do not peritoneal suture and subcuticular suture if less than 2 cm * Local wound anesthesia. * Paracetamol and NSAIDs for for pain control * Early remove catheter and ambulation * 5-HT3 antagonist for prevent nausea
Rajavithi hospital
Bangkok, Thailand
Compare length of stay of pregnant women after Cesarean section between ERAS protocol and conventional care
The primary outcome is length of stay (Day)
Time frame: 1 year
Compare pain of pregnant women after Cesarean section between ERAS protocol and conventional care
The outcome is pain score (visual analogue scale )
Time frame: 1 year
Compare opioid use of pregnant women after Cesarean section between ERAS protocol and conventional care
The outcome are opioid use (Meperidine, Tramadol, Morphine)
Time frame: 1 year
Compare complication of pregnant women after Cesarean section between ERAS protocol and conventional care
The outcome are complication after surgery such as fever, wound infection, wound dehiscence, metritis
Time frame: 1 year
Compare bowel function of pregnant women after Cesarean section between ERAS protocol and conventional care
The outcome is time to passing gas after surgery(hour)
Time frame: 1 year
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