Outcomes of Enhanced Recovery After Cesarean (ERAC) Protocol

Status Enrolling by invitation

Clinical Trial Summary

In recent years, a set of evidence-based recommendations called Enhanced Recovery After Surgery (ERAS) is being applied for care of cesarean sections. The effectiveness of ERAS in reducing the length of hospitalization, postoperative complications, the need for analgesics right away after surgery, and the financial cost in the context of cesarean sections has been shown in several studies. There is strong evidence that following ERAS protocols aids postoperative recovery positively. This will be a randomized trial to determine if there is a difference regarding adverse maternal outcomes between ERAS group and standard of care.

Clinical Trial Description

Cesarean section is one of the most common surgeries performed today with over one million performed in the United States annually. Our institiution is a tertiary maternity hospital with approximately 3500 cesarean sections annually. A standardized set of guidelines known as Enhanced Recovery After Surgery (ERAS) has been used in a variety of surgical specialties, including colorectal, urologic, gynecologic, and hepatobiliary surgery. The adoption of ERAS guidelines for the obstetric population now offers evidence-based recommendations for postoperative care following cesarean delivery. At our institution, due to large volume of cesarean section, we encounter a variety of postoperative complications. Institutional standard of care for preoperative, intraoperative and postoperative care has been applied by all providers. In light of recent positive evidence when ERAS protocol is applied, our team aimed to design a randomized controlled trial for comparison of maternal outcomes in ERAS and standard of care. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT05786352
Study type	Interventional
Source	Zeynep Kamil Maternity and Pediatric Research and Training Hospital
Contact
Status	Enrolling by invitation
Phase	N/A
Start date	April 1, 2023
Completion date	June 1, 2024

View Details

See also
Status	Clinical Trial	Phase
Terminated	`NCT04377984` - Impact of a Strategy Combining Morphine Savings and Anesthesia Technique on the Quality of Post-operative Rehabilitation
Recruiting	`NCT03248817` - Phenylephrine Infusion in Cesarean Delivery	Phase 4
Completed	`NCT05037383` - Motion and Viewing Analysis of Surgeons During Minimally Invasive Gynecological Interventions	N/A
Completed	`NCT05933993` - Mothers Experience of Pain Following Elective Cesarean Section. A Qualitative Study.
Recruiting	`NCT05021315` - Vaginal Cleaning Using Povidone Iodine Before CS to Reduce Postoperative Wound Infection	Phase 3
Terminated	`NCT03246919` - Ideal Time of Oxytocin Infusion During Cesarean Section	Phase 4
Completed	`NCT06403215` - Effect of Chewing Gum and Drinking Fennel Tea	N/A
Recruiting	`NCT06247852` - Persistent Pain After Cesarean Delivery - A Danish Multicenter Cohort Study
Not yet recruiting	`NCT06017076` - Effect of Preoperative Oral Energy Drinks Compared to Warming Matress on Body Temperature During Combined Spinal-epidural Anesthesia for Elective Cesarean Delivery.	N/A
Completed	`NCT05005871` - Comparison of Quadratus Lumborum Intramuscular and Transmuscular in Postoperative Pain	N/A
Recruiting	`NCT04518176` - Bilateral Uterine Artery Ligation During the Cesarean Delivery of Twins	N/A
Not yet recruiting	`NCT04505644` - Lidocaine Patch Versus Intravenous Lidocaine in Pain Relief After Cesarean Section	N/A
Not yet recruiting	`NCT03985618` - The MODE Trial: Planned Caesarean Section Versus Induction of Labour for Women With Class III Obesity	N/A
Completed	`NCT04046510` - Comparaison of 3 Protocols of Ocytocin Administration in C Section	N/A
Completed	`NCT03302039` - Three Protocols for Phenylephrine Administration in Cesarean Delivery	Phase 4
Completed	`NCT03318536` - Effect of Granisetron on Usage of Sympathomimetics During Caesarean Section
Recruiting	`NCT03682510` - B-Lynch Transverse Compression Suture Versus a Sandwich Technique (N&H Technique) for Complete Placenta Previa	N/A
Recruiting	`NCT03651076` - Traxi Panniculus Retractor for Cesarean Delivery	N/A
Not yet recruiting	`NCT06060327` - Comparing Tranexamic Acid Versus Ecbolics in Preventing Hemorrhage During and After Cesarean Section	N/A
Completed	`NCT03701048` - Rectus Musle Reapproximation During Cesarean Section	N/A