Implementation of enhanced recovery in women undergoing cesarean delivery improves breastfeeding and maternal perioperative outcomes

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dc.authoridKale, Ibrahim/0000-0001-7802-7199
dc.contributor.authorBirden, Duygu Yildiz
dc.contributor.authorBasbug, Alper
dc.contributor.authorYurtcu, Engin
dc.contributor.authorKale, Ibrahim
dc.date.accessioned2025-10-11T20:48:24Z
dc.date.available2025-10-11T20:48:24Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjective The study aimed to evaluate delivery outcomes after implementation of the Enhanced Recovery After Surgery (ERAS) protocol in patients delivered by cesarean section (CD). Materials and Methods This randomized controlled prospective study was conducted on 78 pregnant women who underwent CD with the ERAS protocol and 78 pregnant women who under went standard perioperative care. We compared the time to first flatus, visual pain score (VAS), the success of breastfeeding, time to initiation of breastfeeding, time to return to daily activities, hemoglobin values, the incidence of postoperative nausea and vomiting, hospital readmission rates, postoperative wound infection rates, incidence of postpartum blues, and the need for blood transfusion between two groups. Results Time to first flatus, VAS score, time to initiation of breastfeeding, and time to return to activities of daily living were significantly lower in the ERAS group (p<0.001 for all). The rate of successful breastfeeding was significantly higher in the ERAS group (p<0.001). Both groups were similar in terms of other parameters. Conclusion Implementation of ERAS after CD shortens the breastfeeding initiation time and increases rates of successful breastfeeding. ERAS protocols implemented in CD improve perioperative outcomes such as visual pain score and time to resume daily activities.en_US
dc.identifier.doi10.1055/a-2529-5424
dc.identifier.endpage130en_US
dc.identifier.issn0948-2393
dc.identifier.issn1439-1651
dc.identifier.issue2en_US
dc.identifier.pmid39952278en_US
dc.identifier.scopus2-s2.0-85219018499en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage124en_US
dc.identifier.urihttps://doi.org/10.1055/a-2529-5424
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21900
dc.identifier.volume229en_US
dc.identifier.wosWOS:001421986800001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofZeitschrift Fur Geburtshilfe Und Neonatologieen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectbreastfeedingen_US
dc.subjectbreastfeeding initiation timeen_US
dc.subjectcesarean deliveryen_US
dc.subjectenhanced recovery after surgeryen_US
dc.subjectperioperative outcomesen_US
dc.titleImplementation of enhanced recovery in women undergoing cesarean delivery improves breastfeeding and maternal perioperative outcomesen_US
dc.typeArticleen_US

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