MATERNAL OUTCOME AFTER IMPLEMENTATION OF

ENHANCED RECOVERY AFTER CESAREAN SECTION (ERAC) IN BUNDA HOSPITAL JAKARTA

Dian Citra Resmi, Ruswantriani, Nining Handayani, Tri Aprilliana Wulandari, Ivan Sini, Elsa Anjani Achmad, Muhammad Farhan
BACKGROUND RESULT DISCUSSION
• ERACs, which Bunda Jakarta adopted since Tabel 1. Subject Characteristics
2020, has shown improvement to many Characteristics Non-ERAC ERAC Group ERAC Implementation had significant benefit to
maternal’s outcome. Group (n=350) reduce postoperative pain at 2-h and 6-h mark. It
(n=329) correspond to a study which conclude multimodal
• This study aimed to measure its benefit to
Age (years) 33 (30-36) 33 (30-37) analgesia in ERAC group result in lower pain.1
postoperative pain score and length of stay ASA score
• We hypothesize it will shorten maternal LOS I 304 (92,4%) 283 (80,9%) There are no significant reduction to maternal LOS
and decrease postoperative pain score. II 25 (7,6%) 67 (19,1%) for patient with ERAC protocol. Study by Pan J et al
METHOD Gravida also show similar result.1 This is probably because
Primigravida 131 (39,8%) 171 (48,9%) some patient underwent longer stay for other
Cross-sectional retrospective study encompassed all Multigravida 198 (60,2%) 179 (51,1%) unrelated medical disease or as patient preference,
pregnant patients who underwent caesar delivery in Gestational 38 (38-39) 38 (38-38) not based on medical eligibility criteria alone
Bunda Hospital Jakarta in January 2021-2022. Weeks (weeks)
Gestation CONCLUSION
Subject with ERACS procedure had holistic approach
between anesthesiologist, obstetrics, pediatrics, Single 319 (97,0%) 340 (97,1%) ERAC Implementation decrease postoperative pain,
nursing and lactation specialist and hospitals. Twins 10 (3%) 10 (2,9%)
however it is not shown to shorthen maternal LOS
Tabel 2. Maternal Outcome’s in Two Group
Maternal LOS and postoperative VAS pain score at 2 REFERENCES
hours and 6 hours noted for non-ERAC and ERAC Characteristics Non-ERAC ERAC P value
group. Group Group 1. Pan J, Hei Z, Li L, Zhu D, Hou H, Wu H, et al. The
VAS score at 2-h 4 (3-4) 1 (1-2) 0,000 advantage of implementation of enhanced recovery
Inclusion criterion were ASA I-II, aterm gestational. VAS score at 6-h 3 (3-3) 2 (1-2) 0,000 after surgery (ERAS) in acute pain management during
Exclusion criterion were medical complication, Maternal LOS 3 (3-4) 3 (3-4) 0,477 elective cesarean delivery: a prospective randomized
incomplete data. (days) controlled trial. Ther Clin Risk Manag. 2020;16:369–78