To Determine Whether ERAS Can Reduce Length of Stay in Pregnant Women After Cesarean Section Clinical Trial
Official title:
Compare Outcome of Enhanced Recovery After Cesarean Surgery and Conventional Care in Rajavithi Hospital
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)
;