Effectiveness of Postpartum Enhanced Recovery Pathway Intervention on the Occurrence of Postoperative Complications for Primiparous Women Undergoing Elective Cesarean Section
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 8, Issue 1
Abstract
clinical pathway nursing management is standardized, multidisciplinary approaches for caring patients with a goal of decreasing length of stay and care without negatively affecting patient outcomes objective: to evaluate the effects of enhanced recovery pathway intervention on postoperative complications for primiparous women undergoing elective cesarean section. Methods: a prospective evaluation enrolled consecutive on elective cesarean section women at Mansoura university hospital. Intervention and control groups were assigned via random number generation. maternal health indicators were recorded at first, third day, 2weeks and 3 months after delivery via chart review and written/telephone. results: overall, 250 women were assigned to the intervention group and to the control group, (125 study group(a) who received pre and postoperative care of clinical pathway and 125 control group(b) who received postoperative routine care of the hospital). results; statistically significant differences observed between the intervention participants and the control group as the intervention participants were more likely to in the early oral intake(p = 0.022), postoperative bowel mobility p = 0.022, improvement immediately in the practice of mothers as well as decreasing the incidence of health problems in the post-operative period , less likely to have shorter mean period for suture removal and length of stay than the control group were observed. Conclusion: implementation of clinical pathway led to reduce postoperative complications, decrease length of stay, improving mother's performance related to breast feeding, early ambulation and post natal exercise. Recommendation: clinical pathways should be applied in C S operations to improve patient outcome and reduce postoperative complications
Authors and Affiliations
Inaam Hassan Abd Elati, Amal Roshdi Ahmed mostafa
Keywords
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- EP ID EP437646
- DOI 10.9790/1959-0801045060.
- Views 133
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