Enhancing recovery after cesarean delivery – A narrative review

O'Carroll, James; Carvalho, Brendan; Sultan, Pervez

doi:10.1016/j.bpa.2022.01.001

Cited by 10 publications

(7 citation statements)

References 40 publications

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“…This precision is paramount in the management of caesarean sections, especially in twin pregnancies, which are characterized by increased risk and complexity. 17 The literature has long highlighted the correlation between meticulous postoperative wound care and the reduction of adverse outcomes, a narrative that our analysis supports and further enriches by emphasizing the role of advanced imaging techniques. 18 Similarly, the discussion of scar formation, where TU demonstrated superior outcomes, aligns with emerging discussions about the long-term implications of caesarean wound management.…”

Section: Discussionmentioning

confidence: 60%

“…The significantly lower REEDA scores associated with TU, as detailed in our results, suggest a more delicate and precise approach to assessing the early stages of wound healing. This precision is paramount in the management of caesarean sections, especially in twin pregnancies, which are characterized by increased risk and complexity 17 . The literature has long highlighted the correlation between meticulous postoperative wound care and the reduction of adverse outcomes, a narrative that our analysis supports and further enriches by emphasizing the role of advanced imaging techniques 18 …”

Section: Discussionmentioning

confidence: 73%

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Meta‐analysis comparing different ultrasound detection methods to accurately assess wound healing and scar formation after caesarean section

Miao,

Luo,

Wang

et al. 2024

International Wound Journal

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The accurate assessment of wound healing post‐caesarean section, especially in twin pregnancies, remains a pivotal concern in obstetrics, given its implications for maternal health and recovery. Traditional methods, including conventional abdominal ultrasonography (CU), have been challenged by the advent of transvaginal ultrasonography (TU), offering potentially enhanced sensitivity and specificity. This meta‐analysis directly compares the efficacy of TU and CU in evaluating wound healing and scar formation, crucial for optimizing postoperative care. Results indicate that TU is associated with significantly better outcomes in wound healing, demonstrated by lower REEDA scores (SMD = −20.56, 95% CI: [−27.34.20, −13.77], p < 0.01), and in scar formation reduction, evidenced by lower Manchester Scar Scale scores (SMD = −25.18, 95% CI: [−29.98, −20.39], p < 0.01). These findings underscore the potential of integrating TU into routine post‐caesarean evaluation protocols to enhance care quality and patient recovery.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 73%

Meta‐analysis comparing different ultrasound detection methods to accurately assess wound healing and scar formation after caesarean section

Miao,

Luo,

Wang

et al. 2024

International Wound Journal

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“…We report drinking, eating and mobilising for each delivery mode as a simplified principle of enhanced recovery, which has been implemented to improve patients' recovery following surgery [25,26]. The benefits of enhanced recovery following caesarean delivery have been shown to be associated with a reduced length of stay and improved maternal outcomes without an increase in readmission rates or complications [27]. We did not see significant shorter postpartum length of stay in those enrolled in an enhanced recovery following caesarean delivery programme.…”

Section: Discussionmentioning

confidence: 99%

Quality of recovery following childbirth: a prospective, multicentre cohort study

et al. 2023

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Summary To better understand outcomes in postpartum patients who receive peripartum anaesthetic interventions, we aimed to assess quality of recovery metrics following childbirth in a UK‐based multicentre cohort study. This study was performed during a 2‐week period in October 2021 to assess in‐ and outpatient post‐delivery recovery at 1 and 30 days postpartum. The following outcomes were reported: obstetric quality of recovery 10‐item measure (ObsQoR‐10); EuroQoL (EQ‐5D‐5L) survey; global health visual analogue scale; postpartum pain scores at rest and movement; length of hospital stay; readmission rates; and self‐reported complications. In total, 1638 patients were recruited and responses analysed from 1631 (99.6%) and 1282 patients (80%) at one and 30 days postpartum, respectively. Median (IQR [range]) length of stay postpartum was 39.3 (28.5–61.0 [17.7–513.4]), 40.3 (28.5–59.1 [17.8–220.9]), and 35.9 (27.1–54.1 [17.9–188.4]) h following caesarean, instrumental and vaginal deliveries, respectively. Median (IQR [range]) ObsQoR‐10 score was 75 ([62–86] 4–100) on day 1, with the lowest ObsQoR‐10 scores (worst recovery) reported by patients undergoing caesarean delivery. Of the 1282 patients, complications within the first 30 days postpartum were reported by 252 (19.7%) of all patients. Readmission to hospital within 30 days of discharge occurred in 69 patients (5.4%), with 49 (3%) for maternal reasons. These data can be used to inform patients regarding expected recovery trajectories; facilitate optimal discharge planning; and identify populations that may benefit most from targeted interventions to improve postpartum recovery experience.

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“…ERAS bundles may have many effects, but previous studies have often focused on only one or a few outcomes, potentially missing unexpected adverse effects and importantly lacking patient-reported measures. 15 …”

Section: Introductionmentioning

confidence: 99%

Impact of Enhanced Recovery After Surgery pathway for cesarean delivery on postoperative pain

Grasch¹,

ROJAS²,

SHARIFI³

et al. 2023

AJOG Global Reports

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Enhancing recovery after cesarean delivery – A narrative review

Cited by 10 publications

References 40 publications

Meta‐analysis comparing different ultrasound detection methods to accurately assess wound healing and scar formation after caesarean section

Meta‐analysis comparing different ultrasound detection methods to accurately assess wound healing and scar formation after caesarean section

Quality of recovery following childbirth: a prospective, multicentre cohort study

Impact of Enhanced Recovery After Surgery pathway for cesarean delivery on postoperative pain

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