Enhanced Recovery Protocol Compliance and Quality of Recovery After Cesarean Delivery

Effect of Enhanced Recovery After Cesarean Delivery Protocol Compliance on Postoperative Quality of Recovery in Patients Undergoing Cesarean Delivery Under Spinal Anesthesia: A Prospective Observational Study

This prospective observational study will evaluate whether adherence to enhanced recovery after cesarean delivery protocols is associated with postoperative recovery quality in women undergoing elective cesarean delivery under spinal anesthesia. A total of 150 participants will be enrolled. Recovery quality will be assessed using the Turkish version of the Obstetric Quality of Recovery-10 questionnaire at 24 hours after surgery. Pain, opioid use, nausea, mobilization, oral intake, breastfeeding, and patient satisfaction will also be evaluated.

Inclusion Criteria:

• Age 18 years or older
• Scheduled for elective cesarean delivery
• Planned spinal anesthesia
• American Society of Anesthesiologists physical status II or III
• Ability to read and understand Turkish
• Provision of written informed consent

Exclusion Criteria:

• Emergency cesarean delivery
• General anesthesia or conversion from spinal to general anesthesia
• Major obstetric hemorrhage
• Requirement for postoperative intensive care
• Chronic opioid use
• Chronic pain syndrome
• Severe psychiatric disease
• Severe neurological disease
• Inability to communicate
• Cognitive impairment preventing completion of study questionnaires
• Refusal to participate