ArticleAJOG global reports2023
Impact of Enhanced Recovery After Surgery pathway for cesarean delivery on postoperative pain.
Article in AJOG global reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The trial behind it
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- Combined Local Anesthetic Infiltration Versus Intrathecal Morphine for Postcesarean Analgesia: A Pilot Randomized Double-Blind Trial.The Eurasian journal of medicine · 2026Article
- The Impact of DRG Review Teams on Obstetric Disease Management and Cost Control: A Variance Analysis Approach.The journal of obstetrics and gynaecology research · 2026Article
- Effect of preoperative fasting on acute postoperative pain following cesarean section: a retrospective cohort study.Annals of medicine and surgery (2012) · 2026Article
- Quality improvement methodology used in enhanced recovery after caesarean delivery implementation studies: a narrative review and author survey.BMJ open quality · 2025Review
- Population Pharmacokinetics and Transfer of Gabapentin When Used as a Pain Adjunct for Cesarean Deliveries.CPT: pharmacometrics & systems pharmacology · 2025Observational
- Enhanced recovery after cesarean (ERAC) versus conventional care: An expanded systematic review and meta-analysis of 18,368 subjects.Journal of anaesthesiology, clinical pharmacologyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhanced Recovery After Surgery pathways provide evidence-based recommendations to optimize perioperative care.
objectiveThis study aimed to holistically investigate the effect of implementing an Enhanced Recovery After Surgery pathway for all cesarean deliveries on postoperative pain experience. STUDY
designThis was a prepost study comparing subjective and objective measures of postoperative pain before and after the implementation of an Enhanced Recovery After Surgery pathway for cesarean delivery. The Enhanced Recovery After Surgery pathway was developed by a multidisciplinary team and included preoperative, intraoperative, and postoperative components, with emphasis on preoperative preparation, hemodynamic optimization, early mobilization, and multimodal analgesia. All individuals undergoing cesarean delivery, whether scheduled, urgent, or emergent, were included. Demographic, delivery, and inpatient pain management data were obtained through medical record review. Of note, 2 weeks after discharge, patients were surveyed about their delivery experience, analgesic usage, and complications. The primary outcome was inpatient opioid use.
resultsThe study included 128 individuals, 56 in the preimplementation cohort and 72 in the Enhanced Recovery After Surgery cohort. Baseline characteristics between the 2 groups were similar. The survey response rate was 73% (94/128). Opioid use in the first 48 hours postoperatively was significantly lower in the Enhanced Recovery After Surgery group than the preimplementation group (9.4 vs 21.4 morphine milligram equivalents 0-24 hours after delivery [
conclusionThe implementation of an Enhanced Recovery After Surgery pathway for all cesarean deliveries decreased both inpatient and outpatient postpartum opioid use without increasing pain scores or decreasing patient satisfaction.
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