Effect of the multidisciplinary cooperative management based on enhanced recovery after surgery concept on postoperative recovery and early outcomes in pregnant women undergoing secondary cesarean section
Objective To investigate the effect of the multidisciplinary cooperative management based on en-hanced recovery after surgery(ERAS)concept on postoperative recovery and early outcomes in pregnant women under-going secondary cesarean section.Methods A total of 60 pregnant women who underwent secondary cesarean section in Jining No.1 people's Hospital from December 2022 to March 2024 were selected and randomly divided into conven-tional group and ERAS group,with 30 cases in each group.Conventional group received traditional management,and ERAS group took multidisciplinary cooperative management based on ERAS.The postoperative recovery,postoperative analgesia,postoperative complications in two groups were compared.Results The obstetric quality of recovery-11(ObsQoR-11)score at 24 hours after surgery in ERAS group 92.90±7.16 points was higher than that in common group 85.20±11.86 points,the time of first exhaust after surgery was 25.17±4.91h and the initial lactation time 21.20±1.67h,shorter than those in common group 29.80±5.11h,25.67±3.04h,the uterine involution degree 2.26±0.71cm was greater than that in common group 1.67±0.42cm,sufentanil consumption in 48 hours after surgery[50.00(48.00,52.00)]μg was less than that in common group[52.00(48.00,56.00)]μg,and the differences were statis-tically significant(t=3.044,-3.583,-7.048,3.908,Z=-2.354,all P<0.05).The incidence of moderate to severe pain during rest or cough,the analgesia remedy rate and the total incidence of postoperative complications in observa-tion group were 6.67%,10.00%,6.67%and 26.67%respectively,which were significantly lower than 26.67%,33.33%,30.0%,and 73.33%in common group,and the differences were statistically significant(χ2=4.320,4.812,5.455,13.067,all P<0.05).Conclusion The multidisciplinary cooperative management based on ERAS concept can help to promote postoperative recovery of pregnant women undergoing secondary cesarean section,reduce complications and improve early postoperative outcomes.
Multidisciplinary cooperationEnhanced recovery after surgerySecondary cesarean sectionPostopera-tive recoveryPostoperative outcomes
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