The effectiveness of the ERACS (Enhanced Recovery After Caesarean Surgery) method on postoperative pain and the onset of colostrum excretion

Abstract

Background: Riskesdas in 2018 showed that the Caesarean birth rate in Indonesia was 17.6%. In addition to the many benefits of Caesarean section, postoperative patients face various problems ranging from healing after surgery, lactation process constraints and other discomforts. Various studies have been carried out to prove the superiority of the Enhanced Recovery after Caesarean Surgery (ERACS) method. This investigation seeks to evaluate the impact of ERACS on postoperative discomfort and the beginning of colostrum excretion. Methods: In this study, a control group was used in a quasi-experimental study to assess the degree of postoperative discomfort and the beginning of colostrum excretion between the control group (non-ERACS) and the treatment group (Sectio Caesarean with ERACS method). For this study’s simple random sample, there are 30 respondents in each group. The Chi-Square and multivariate logistic regression tests were used to evaluate the data and discover the variables’ relationship. Results: Based on the data analysis, it was found that ERACS was effective in reducing post-operative pain (p<0.001), and the coefficient of determination is 0.645, which means that the ERACS can influence 64.5% of the variation in the postoperative pain score variable. ERACS method is ineffective for accelerating the onset of colostrum excretion p=0.267 (p>0.05). Conclusion: The type of mother’s birth, the mother’s psychological changes, pain, and the administration of medicines to the mother are all factors that can impact the mother’s ability to excrete colostrum right away after delivery.