Postoperative Care in Cesarean Delivery Clinical Practice Guidelines (2019)

Enhanced Recovery After Surgery (ERAS) Society

This is a quick summary of the guidelines without analysis or commentary. For more information, go directly to the guidelines by clicking the link in the reference.

June 05, 2019

Guidelines on postoperative care in cesarean delivery were released by the Enhanced Recovery After Surgery (ERAS) Society on April 14, 2019.[1]

Ephedrine or phenylephrine, given intravenously, and lower limb compression can reduce the risk of hypotension and the incidence of intraoperative and postoperative nausea and vomiting.

Antiemetic agents can also be used to prevent postoperative nausea and vomiting.

Multimodal postoperative analgesia (analgesia that includes regular NSAIDs and paracetamol) is recommended for improved recovery from cesarean delivery.

A return to a normal diet within 2 hours after cesarean delivery is recommended.

Strict control of capillary blood glucose (CBG) is recommended due to the increased complication risk for patients with undiagnosed diabetes mellitus.

Use pneumatic compression stockings to prevent thromboembolic disease in patients who have a cesarean delivery.

If it is used during surgery, the urinary catheter should be removed immediately following cesarean delivery in all women who do not need a strict measurement of urinary output.

For more Clinical Practice Guidelines, please go to Guidelines.

For more information, go to Cesarean Delivery.


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