Interpretation
Due to the increase in the rate of CD (1), efforts to optimize
perioperative care in these patients are imperative. A more appropriate
postoperative care of these patients can improve their recovery
including early mobilization, reduction in the time of the first
spontaneous micturition and early feeding. All of these can contribute
to an early discharge from the hospital, thus improving the quality of
care, the quality perceived by the mother and her family, and the
optimization of resources. Moreover, achieving an improved CD recovery
could help support breastfeeding (11).
The proper functioning of protocols and healthcare pathways depends on
multidisciplinary care, and the case of CD is no different. The
implementation of this protocol based on ERAS guidelines opens the door
to further studies in our hospital. New fields to explore include
evaluating the use of ultrasound by nurses in order to measure the
urinary bladder volume, randomized trial on the use of morphine by
anesthesiologist and a future study conducted by obstetricians assesing
the variables that influence the time to first oral intake.