Enhanced Recovery Protocol After Cesarean Section | NCT07720986

NCT07720986

Overview

NCT ID: NCT07720986
Lead Sponsor: Mansoura UniversityOTHER
Official Title: Effectiveness of Implementing Enhanced Recovery After Cesarean Section Protocol on Maternal and Neonatal Outcomes
Brief Summary: This study aims to evaluate the effectiveness of implementing the Enhanced Recovery After Cesarean (ERAC) protocol on maternal and neonatal outcomes.

Research hypotheses

To fulfill the aim of the study, the following research hypotheses are formulated:

Hypothesis I: Women who receive the ERAC protocol experience faster recovery compared to those who receive routine hospital nursing care.

Hypothesis II: Women who receive the ERAC protocol experience fewer maternal and neonatal complications than those who receive routine hospital nursing care.
Conditions: Cesarean Section

Status and Timeline

Status: Completed
Last Update Posted: Jul 22, 2026Actual
Start Date: Feb 1, 2025Actual
Primary Completion Date: Sep 30, 2025Actual
Completion Date

Participation Criteria

Ages Eligible for Study: Adult (18-64)
Sexes Eligible for Study: Female
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

Women undergoing planned cesarean delivery.

Scheduled to receive neuraxial anesthesia.

Gestational age of 37 weeks or more.

Singleton pregnancy.

Exclusion Criteria:

Women requiring additional interventions outside the Enhanced Recovery After Cesarean (ERAC) pathway, including severe coagulopathy or active infection.

Women expected to require prolonged hospitalization because of a history of uterine rupture, pre-existing hypertension, pregnancy-induced hypertension, or placenta accreta.

Study Plan

Study Type: Interventional
Phase: Not Applicable
Enrollment: 108Actual
Primary Purpose: Supportive Care
Allocation: Randomized
Interventional Model: Parallel Assignment
Masking: Single

Contacts and Locations

Central Contacts: No data available
Locations: Mansoura University Hospital

Similar Studies

Participant Group/Arms

Experimental :ERAC arm (intervention)Experimental

The intervention group will receive the Enhanced Recovery After Cesarean (ERAC) protocol of care, consisting of the following components: Preoperative care: * Patient education. * Reduced preoperative fasting: solid food will be permitted until 6 hours before surgery, and clear fluids until 2 hours before surgery. * Preoperative carbohydrate loading. Intraoperative care: * Antibiotic prophylaxis. * Thermal regulation using active warming methods, warmed intravenous fluids, and maintenance of an appropriate operating room temperature. * Neuraxial anesthesia with strategies to prevent maternal hypotension. * Delayed cord clamping for 30-60 seconds after birth. * Immediate maternal-newborn bonding through skin-to-skin contact and early initiation of breastfeeding in the operating room, when clinically feasible. Postoperative care: • Prophylaxis for pos

Procedure: Enhanced Recovery after Cesarean protocol of Care

Routine care armActive Comparator

The control group will receive routine nursing care only (pre-operative, intraoperative and postoperative).NPO for at least 8 hrs for food and fluid ,immediate cord clamping ,no mutlimodal analgesia ,catheter removal after at least 12 hrs

Procedure: Routine hospital care