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  2. Vol 27, No 9 (2023)
  3. Mansouri

Effects of early rehabilitation on enhanced recovery after caesarean section

Rachida Mansouri(1), Abdelhamid Sadi(2), Hadjer Ziane(3), Nadia Fellah(4),


(1) Department of Anesthesiology and Intensive Care, Mohamed Lamine Debaghine University Hospital Center Bab El Oued, Algiers. Faculty of Health Sciences, University of Algiers 1, Benyoucef Benkhedda, Algeria.
(2) Intensive Care Unit (ICU), Specialized Hospital Establishment El-Hadi-Flici, El-Kettar, Algeria
(3) Department of Anesthesiology and Intensive Care, Mohamed Lamine Debaghine University Hospital Center Bab El Oued, Algiers.
(4) Department of Anesthesiology and Intensive Care, Mohamed Lamine Debaghine University Hospital Center Bab El Oued, Algiers.
Corresponding Author

Abstract


The objective of this study was to evaluate the impact of improved rehabilitation on the average length of stay after a scheduled caesarean section under neuraxial anaesthesia, it is a descriptive, monocentric study with prospective recruitment. Our protocol was based on neuraxial anaesthesia with intrathecal morphine, multimodal analgesia, with oral analgesics postoperatively, prevention of postoperative nausea and vomiting (PONV), rapid demedicalization, refeeding and mobilisation. We included 99 patients. The mean length of stay (LOS) for the current caesarean section was 1.97 days versus a LOS for previous caesareans of 4.14 days. On the day of discharge, the mean satisfaction with overall management was 8.97+/-1.35. At six weeks, 92.6% wanted to have the same protocol for a future caesarean. Early rehabilitation after caesarean section is quite applicable to the Algerian context. It offers a quick functional recovery with patient satisfaction, as well as a reduction of the length of stay. (Afr J Reprod Health 2023; 27 [9]: 134-142).

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