Enhanced Recovery after Caesarian Section, Madagascar

  • Jasper Grant Raelison
  • Hary Fanambinantsoa Rabarikoto
  • Nadia Marie Philibertine Rahanitriniaina
  • Philibert Velomora
  • Andriatiaray Rija Niaina Ramarolahy
  • Auguste Maharetse
  • Andriambelo Tovohery Rajaonera
Keywords: Caesarean Section, Enhanced Recovery, Audit, Assessment

Abstract

Introduction: Few hospital practice enhanced recovery after caesarian section. Our aims is to evaluate the application of enhanced recovery after caesarian section after implementation in our service.

Materials and Methods : An observational audit prospective was conducted, from November 2018 to January 2019, in the complex mother-child Military Hospital, Antsiranana. Patients between 18 to 35 years, ASA 1 or 2 before surgery were included. General anesthesia procedures are excluded.

Results: Thirty-one patients were identified. Each received antiotic prophylaxis and prevention of postoperative nausea/ vomiting and intratechal morphine. Fluid infusion was optimized in 18 patients. In post-interventional recovery room, multimodal analgesia were given orally after the intervention in 15 patients (48%), Sixteen (52%) cases drunk. Forty-four patients (45%) ate food four hour after intervention. Stop infusion performed in 13 cases (42%). The bladder catheter removed in 13 patients (42%). The median length of stay was 3.5 days.

Conclusion : Early food, removal of the bladder catheter and the infusion stop have low compliance to the protocol. An audit and formation were needed.

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Author Biographies

Jasper Grant Raelison

Intensive Care Unit, University Hospital Center of Joseph Raseta Befelatanana, Antananarivo, Madagascar

Hary Fanambinantsoa Rabarikoto

Mother-Child Complex Military Hospital, Antsiranana, Madagascar

Nadia Marie Philibertine Rahanitriniaina

Surgical Intensive Care Unit, University Hospital Center of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

Philibert Velomora

Mother-Child Complex Military Hospital, Antsiranana, Madagascar

Andriatiaray Rija Niaina Ramarolahy

Surgical Intensive Care Unit, University Hospital Center of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

Auguste Maharetse

Mother-Child Complex Military Hospital, Antsiranana, Madagascar

Andriambelo Tovohery Rajaonera

Surgical Intensive Care Unit, University Hospital Center of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

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Published
2019-11-24
How to Cite
Jasper Grant Raelison, Hary Fanambinantsoa Rabarikoto, Nadia Marie Philibertine Rahanitriniaina, Philibert Velomora, Andriatiaray Rija Niaina Ramarolahy, Auguste Maharetse, & Andriambelo Tovohery Rajaonera. (2019). Enhanced Recovery after Caesarian Section, Madagascar . International Healthcare Research Journal, 3(8), 271-274. https://doi.org/10.26440/IHRJ/0308.11301

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