Nurse-led enhanced recovery program for women undergoing elective cesarean section: a quasi-experimental study.

BACKGROUND

Cesarean sections (CS), although commonly performed and generally considered safe, may be associated with prolonged hospitalization, increased postoperative pain, and a higher risk of complications. Accordingly, this study aimed to evaluate the effectiveness of a nurse-led Enhanced Recovery Program (ERP) on selected outcomes among women undergoing elective CS.

METHODS

A quasi-experimental study was conducted across inpatient and outpatient settings at Cairo University Obstetrics and Gynecology Hospital, including 90 women allocated into a study group (n = 45) and a control group (n = 45). Data was collected using structured interviews, numerical pain rating scale, postoperative recovery criteria, functional outcome assessment, and satisfaction questionnaire.

RESULTS

Both groups had comparable demographic characteristics. The ERP group demonstrated significantly better outcomes including reduced pain scores (2.71 vs. 4.26 at discharge, p < 0.001), faster ambulation (4.37 vs. 8.11 h), shorter hospital stays (9.22 vs. 11.88 h), and zero wound infections compared to 13.3% in controls. The intervention group showed higher satisfaction rates (33.3% vs. 8.9% completely satisfied) and greater functional outcomes in physical activities, self-care, and baby care 48 h post-discharge (p < 0.0001).

CONCLUSION

The nurse-led ERP effectively improved post-cesarean outcomes, including pain control, recovery time, functional independence, and maternal satisfaction with self and infant care. The findings support integrating nurse-led ERP into cesarean section protocols across maternity hospitals to enhance maternal and neonatal outcomes. CLINICAL TRIAL NUMBER: Not applicable.