Comparison of Clinical Outcome in Patient Undergoing Lscs Via Traditional Pathway and Enhanced Recovery After Surgery (Eras) Pathway.

Abstract

Background: Enhanced Recovery After Surgery (ERAS) protocols are designed to optimize perioperative care and improve postoperative recovery following lower segment cesarean section (LSCS). This study compared maternal clinical outcomes between ERAS and Traditional perioperative pathways. Methods: A comparative study was conducted among 80 women undergoing LSCS, with 40 managed under ERAS and 40 under Traditional care. Baseline age distribution, time to ambulation, length of hospital stay, surgical site infection (SSI), pain scores at 12 and 24 hours, maternal satisfaction, and overall mean clinical outcomes were analyzed. Results: Age distribution was comparable between groups (p=0.199), confirming baseline equivalence. ERAS patients ambulated significantly earlier (mean 8.43±2.297 vs 18.68±3.925 hours; p=0.002). Hospital stay was significantly shorter in the ERAS group (p<0.001). SSI was significantly lower in ERAS (5.0%) compared to Traditional care (20.0%) (p=0.043). Pain scores were significantly lower in ERAS at both 12 and 24 hours (p<0.001). Maternal satisfaction was significantly higher in the ERAS cohort (p<0.001). Mean QoR-11 scores showed significant improvement at 24 and 48 hours (p=0.000 and p=0.008). Opioid use was reduced, and gastrointestinal recovery parameters favored ERAS. Conclusion: ERAS implementation in LSCS significantly enhances postoperative recovery, reduces complications and hospital stay, improves pain control, and increases maternal satisfaction without compromising safety. ERAS represents a safe and effective patient-centered approach to optimizing cesarean delivery outcomes.