Evaluating the impact of an enhanced recovery programme on the Obstetric Quality-of-Recovery score (ObsQoR-10) after elective Caesarean section in a South African public hospital: a prospective before–after study
Main finding · ObsQoR-10 scoreResult — go to the resultDifference in medians 9 95% CI 6–14Authors' conclusion
This study demonstrates that ERAC implementation in a resource-limited setting is feasible and can enhance maternal recovery after elective Caesarean section.
Study context
- Population
- Patients aged ≥18 yr undergoing elective Caesarean section in a Johannesburg public hospitalanalysed
- Participants
- 52 patients
- Exposure
- Post-ERAC vs pre-ERAC cohort
- post-ERACn = 27
- pre-ERACn = 25reference
- Outcome
- Postpartum recovery measured by the ObsQoR-10 score
Main finding
ObsQoR-10 score
Difference in medians
9
95% CI 6–14
P < 0.001
Post-ERAC vs Pre-ERAC
difference in medians 9 (95% CI 6–14); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Median decrease (mg oral morphine equivalent) (95% CI) | P value |
|---|---|---|
| Opioid consumption · first 24 h after operationSignificant reduction | 10 (−26 to 6) | P < 0.001 |
Time to urinary catheter removal, first oral intake, first mobilisation; preoperative fasting for liquids
- All significantly improved in the post-ERAC cohort
LOS and other secondary outcomes
- No difference
Original publication
Evaluating the impact of an enhanced recovery programme on the Obstetric Quality-of-Recovery score (ObsQoR-10) after elective Caesarean section in a South African public hospital: a prospective before–after study. BJA Open. Published 17 January 2025. doi:10.
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