ArticleObstetrics and gynecology2020
Improved Outcomes With an Enhanced Recovery Approach to Cesarean Delivery.
Article in Obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04816279 (Clinical Audit on the Quality of Care of Elective Caesarean Section), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Clinical Audit on the Quality of Care of Elective Caesarean Section
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- The Clinical Efficacy and Safety of Enhanced Recovery After Surgery for Cesarean Section: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Observational Studies.Frontiers in medicine · 2021Pooled it
- Effects of enhanced recovery after cesarean section on hospital length of stay and Obstetric Quality-of-Recovery score (ObsQoR-11): a randomized controlled trial.BMC anesthesiology · 2026Trial
- Postpartum pain management for women undergoing cesarean sections using a multimodal pain control protocol: a retrospective study.BMC pregnancy and childbirth · 2025Article
- Correlation between corrected carotid flow time and ultrasonic inferior vena cava-collapsibility index in parturients with twin pregnancies undergoing cesarean section under spinal anesthesia.BMC anesthesiology · 2025Article
- Implementation of enhanced recovery after surgery for caesarean delivery: a quality improvement initiative.BMJ open quality · 2025Article
- Article
- Enhanced Recovery After Surgery Pathways and Obstetric Anesthesia: A Bibliometric Analysis.Cureus · 2025Review
- Comparative Analysis of Early Versus Traditional Feeding Protocols in Elective Lower Segment Cesarean Sections.Cureus · 2024Article
- Effect of Enhanced Recovery after Surgery (ERAS) protocol on maternal outcomes following emergency caesarean delivery: A randomized controlled trial.European journal of obstetrics & gynecology and reproductive biology: X · 2024Article
- The Impact of Regular Diet Recovery on Postoperative Rehabilitation After Elective Cesarean Section.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2024Article
- The association of obesity with post-cesarean inpatient opioid consumption.International journal of obesity (2005) · 2024Article
- Opioid Use Following Cesarean Delivery: A Pilot Study on Patterns of Use, Storage, and Disposal.Cureus · 2023Article
- Content Quality of YouTube Videos About Pain Management After Cesarean Birth: Content Analysis.JMIR infodemiology · 2023Article
- Measuring enhanced recovery in obstetrics: a narrative review.AJOG global reports · 2023Article
- Impact of Enhanced Recovery After Surgery pathway for cesarean delivery on postoperative pain.AJOG global reports · 2023Article
- Correlation between pleth variability index and ultrasonic inferior vena cava-collapsibility index in parturients with twin pregnancies undergoing cesarean section under spinal anesthesia.European journal of medical research · 2022Article
- Opioid dispensing after Cesarean delivery in British Columbia: a historical cohort analysis from 2004 to 2019.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- Variation by default: cesarean section discharge opioid prescription patterns and outcomes in Military Health System hospitals: a retrospective longitudinal cohort study.BMC anesthesiology · 2022Article
- The Association between Implementation of an Enhanced Recovery after Cesarean Pathway with Standardized Discharge Prescriptions and Opioid Use and Pain Experience after Cesarean Delivery.American journal of perinatology · 2021Article
- The successful implementation of the Enhanced Recovery After Surgery (ERAS) program among caesarean deliveries in Bhutan to reduce the postoperative length of hospital stay.BMC pregnancy and childbirth · 2021Article
Corrections and comments
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Authors and funding
13 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the results of a quality-improvement study that implemented an enhanced recovery after surgery (ERAS) program for cesarean delivery.
methodsA pre-post design was used to assess changes in opioid use, length of stay, and costs among all patients undergoing cesarean delivery before and after implementation of an evidence-based ERAS pathway for the preoperative, intraoperative, and postoperative management of patients beginning December 2018.
resultsA total of 3,679 cesarean deliveries (scheduled and emergent) were included from January 1, 2018, through August 31, 2019, of which 2,171 occurred before implementation on December 17, 2018, and 1,508 occurred postimplementation. Eighty-four percent of patients received opioids as inpatients after cesarean delivery during the preimplementation period, as compared with 24% in the postimplementation period (odds ratio [OR] 16.8, 95% CI 14.3-19.9). Among patients who required any opioids, the total morphine milligram equivalents also significantly decreased (median 56.5 vs 15.0, mean relative change 0.32, 95% CI 0.28-0.35). Compared with the preimplementation period, those in the postimplementation period had a shorter postcesarean length of stay (3.2 vs 2.7 days, mean relative change 0.82, 95% CI 0.80-0.83, median 3 days in both periods), lower median direct costs by $349 (mean relative change 0.93, 95% CI 0.91-0.95), and no change in the 30-day readmission rate (1.4% vs 1.7%, OR 0.83, 95% CI 0.49-1.41).
conclusionAn ERAS approach for the cesarean delivery population is associated with improved outcomes including decreases in opioid use, length of stay, and costs.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.