Open AccessEnhanced Recovery after Caesarian Section, Madagascar
Author(s) -
Jasper Grant Raelison,
Hary Fanambinantsoa Rabarikoto,
Nadia Marie Philibertine Rahanitriniaina,
Philibert Velomora,
Andriatiaray Rija Niaina Ramarolahy,
Auguste Maharetse,
Andriambelo Tovohery Rajaonera
Publication year - 2019
Publication title -
international healthcare research journal
Language(s) - English
Resource type - Journals
ISSN - 2456-8090
DOI - 10.26440/ihrj/0308.11301
Subject(s) - medicine , caesarian section , vomiting , nausea , audit , catheter , surgery , anesthesia , observational study , pregnancy , genetics , management , pathology , economics , biology
Few hospital practice enhanced recovery after caesarian section. Our aims is to evaluate the application of enhanced recovery after caesarian section after implementation in our service.
Materials and Methods : An observational audit prospective was conducted, from November 2018 to January 2019, in the complex mother-child Military Hospital, Antsiranana. Patients between 18 to 35 years, ASA 1 or 2 before surgery were included. General anesthesia procedures are excluded.
Results: Thirty-one patients were identified. Each received antiotic prophylaxis and prevention of postoperative nausea/ vomiting and intratechal morphine. Fluid infusion was optimized in 18 patients. In post-interventional recovery room, multimodal analgesia were given orally after the intervention in 15 patients (48%), Sixteen (52%) cases drunk. Forty-four patients (45%) ate food four hour after intervention. Stop infusion performed in 13 cases (42%). The bladder catheter removed in 13 patients (42%). The median length of stay was 3.5 days.
Conclusion : Early food, removal of the bladder catheter and the infusion stop have low compliance to the protocol. An audit and formation were needed.