Application of enhanced recovery after cesarean delivery. A review

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Abstract

Caesarean section is the most common surgical intervention over the world, so the development of the enhanced recovery after cesarean delivery is turning out to be a vital problem. The practical application of the enhanced recovery after cesarean requires multidisciplinary collaboration and well-coordinated teamwork of an anesthesiologist, an obstetrician-gynecologist, nursing staff and other specialists. In this review, we have studied recent domestic and foreign articles dedicated to the enhanced recovery after cesarean. Particular attention was paid to the case management at all stages of the perioperative period, especially preoperative preparation, postoperative care and women’s awareness raising. The presented studies included such program criteria as avoidance of prolonged preoperative fasting accompanied by early postoperative feeding, early breastfeeding attachment of the newborn, the use of multimodal analgesia in the postoperative period, the early activation of the postoperative patient, and the minimization of the detention period of hospital stay. The reviewed articles indicated the positive impact of this program on maternal and newborn outcomes and demonstrated the need for detailed further study of several issues and standardization of the enhanced recovery after cesarean methods.

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About the authors

Oksana V. Ryazanova

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Author for correspondence.
Email: oksanaryazanova@mail.ru
ORCID iD: 0000-0003-2354-8565
SPIN-code: 1708-6695
Scopus Author ID: 42561740300

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Efim M. Shifman

Moscow Regional Research Clinical Institute named after M.F. Vladimirsky

Email: eshifman@mail.ru
ORCID iD: 0000-0002-6113-8498
SPIN-code: 4582-8494
Scopus Author ID: 6507655298

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Anna A. Olina

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott; North-Western State Medical University named after I.I. Mechnikov

Email: olina29@mail.ru
ORCID iD: 0000-0001-9101-7569
SPIN-code: 4255-4325
Scopus Author ID: 56021173500
ResearcherId: T-8423-2017

MD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg

Yury S. Alexandrovich

Saint Petersburg State Pediatric Medical University

Email: jalex1963@mail.ru
ORCID iD: 0000-0002-2131-4813
SPIN-code: 2225-1630

MD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg

Dzhaminat R. Medzhidova

Dagestan State Medical University

Email: dzhamilya-med@mail.ru
ORCID iD: 0000-0002-6182-9942

MD, Cand. Sci. (Med.)

Russian Federation, Makhachkala

Veronika O. Ezhova

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Email: spb.ezhova@gmail.com
ORCID iD: 0000-0001-7070-4474
Russian Federation, Saint Petersburg

Igor Yu. Kogan

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Email: iagmail@ott.ru
ORCID iD: 0000-0002-7351-6900
SPIN-code: 6572-6450
Scopus Author ID: 56895765600

MD, Dr. Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences

Russian Federation, Saint Petersburg

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389 от 15.07.2002 г.


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