Perioperative medicine & outcomes

Professional society recommended interventions for enhanced recovery after cesarean delivery in the United States: a multidisciplinary Delphi study

Int J Obstet AnesthPublished Delphi consensus study

Authors' conclusion

This multidisciplinary Delphi study resulted in 32 ERAC interventions, which were supported/endorsed or developed with input from seven US professional societies, the ERAS Society and physical therapy, lactation consultant and patient representatives.

Study context

Population
Stakeholders from 7 US professional societies, the Enhanced Recovery After Surgery (ERAS) Society, physical therapy, lactation and patient representatives; ERAC interventions for scheduled cesarean delivery in the US
Participants
19 stakeholders
Outcome
Strong consensus (≥70 % agreement) on ERAC interventions
Methodological detailsmodified Delphi, three-round, multidisciplinary, 2 rounds of electronic questionnaires and a 3rd round of e-discussion
  • Modified Delphi
  • Three-round
  • Multidisciplinary
  • 2 rounds of electronic questionnaires and a 3rd round of e-discussion

Recommendations

As reported in the abstract

Interventions achieving strong consensus

Final set of interventions achieving strong consensus

32

Preoperative interventions

6

Intraoperative interventions

13

Postoperative interventions

13

Further findings

Delphi completion

All stakeholders completed each round
19

Original publication

Professional society recommended interventions for enhanced recovery after cesarean delivery in the United States: a multidisciplinary Delphi study. Int J Obstet Anesth. Published 30 October 2025. doi:10.1016/j.ijoa.2025.104811

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