Clinical Edge

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Enhanced recovery program improves outcomes after cesarean delivery

Key clinical point: Implementation of an enhanced recovery after surgery program lowered use of opioids and improved other outcomes following cesarean delivery.

Major finding: The researchers found a significant decrease in the use of opioids after implementing enhanced recovery after surgery at the center, with 24% of patients receiving opioids after ERAS compared with 84% of patients prior to ERAS (odds ratio, 16.8; 95% confidence interval, 14.3-19.9; P < .001).

Study details: A pre-post study of 3,679 cesarean deliveries in a single tertiary care center between January 2018 and August 2019.

Disclosures: Dr. Miller reported he has received payments from the Coventus Professional Liability Insurance: Risk Management Committee and the New Jersey Board of Medical Examiners. The other authors reported no relevant conflicts of interest.


Mullman L et al. Obstet Gynecol. 2020 Oct. doi: 10.1097/AOG.0000000000004023.