Enhanced Recovery Canada (ERC) Clinical Pathway for Cesarean Delivery

Jackie Thomas; Caitlin Anne Jago; R Douglas Wilson; Gregg Nelson

doi:10.1016/j.jogc.2024.102745

Enhanced Recovery Canada (ERC) Clinical Pathway for Cesarean Delivery

J Obstet Gynaecol Can. 2024 Dec 11:102745. doi: 10.1016/j.jogc.2024.102745. Online ahead of print.

Authors

Jackie Thomas¹, Caitlin Anne Jago², R Douglas Wilson², Gregg Nelson³

Affiliations

¹ Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON, Canada. Electronic address: Jackie.thomas@sinaihealth.ca.
² Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
³ Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

PMID: 39672327
DOI: 10.1016/j.jogc.2024.102745

Abstract

Enhanced recovery after surgery (ERAS) is a process to promote optimal recovery after a variety of operations utilized by many surgical specialities. This evidence- based series of interventions was developed to decrease the physiological stress and risks associated with surgery. In April of 2023, Enhanced Recovery Canada released its new Clinical Pathway for cesarean delivery. This has been endorsed by the Society of Obstetricians and Gynaecologists of Canada. This manuscript will introduce the Clinical Pathway, emphasize its unique features specific to cesarean delivery, and detail how to incorporate guidance into routine practice.

Keywords: Cesarean section/rehabilitation; enhanced recovery after surgery/standards; pregnancy; quality improvement.