Pedoman Enhance Recovery After Surgery (ERAS) pada Sectio Caesarea

Oleh :

dr. Cipta Pramana SpOGK

Pedoman enhanced recovery after surgery (ERAS) pada operasi sectio caesarea (SC) bertujuan untuk mempercepat pemulihan ibu setelah melahirkan, sehingga waktu perawatan di rumah sakit dapat lebih pendek. ERAS merupakan pendekatan komprehensif, interdisipliner, dan berbasis protokol dalam perawatan pasien bedah, yang dimulai dari kunjungan sebelum operasi hingga periode pasca operasi yang bertujuan untuk mempersingkat waktu penyembuhan pasien.[1-4]

ERAS pada tindakan SC, atau dikenal sebagai ERACS (enhanced recovery after caesarean section), mengutamakan proses perawatan yang terdiri dari berbagai intervensi untuk mengurangi stres pembedahan, mempertahankan fungsi fisiologis, dan mempercepat proses penyembuhan pasien. Hal inilah yang membedakan metode ERAS dengan perawatan perioperatif pada umumnya.[1,4]

Sejarah ERAS pada Sectio Caesarea

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Peahl AF, Smith R, Johnson TRB, Morgan DM, Pearlman MD. Better late than never: why obstetricians must implement enhanced recovery after cesarean. Am J Obstet Gynecol. 2019;221(2): 117.e1-117.e7. https://doi.org/10.1016/j.ajog.2019.04.030
2. Ituk U, Habib AS. Enhanced recovery after cesarean delivery. Version 1; referees: 2 approved. F1000 Research. 2018;1–11.
3. Ljungqvist O, Scott MJ, Fearon KCH. Enhanced Recovery After Surgery A Review. JAMA surg. 2017;152(3):292-298
4. Scott MJ, Baldini G, Fearon KCH, Feldheiser A, Feldman LS, Gan Tj, et al. Enhanced recovery after surgery (ERAS) for gastrointestinal surgery. Part 1: Pathophysiological consideration. Acta Anaesthesiol Scand. 2015;59: 1212-31
5. Coates E, Fuller G, Hind D, Wrench IJ, Wilson MJ, Stephens T. Enhanced recovery pathway for elective caesarean section. Int J Obstet Anesth. 2016 Aug;27:94-5. doi: 10.1016/j.ijoa.2016.05.005. Epub 2016 Jun 2. PMID: 27378708.
6. Kementerian Kesehatan Direktorat Jenderal Pelayanan Kesehatan. Enhanced Recovery after Caesarean Section (ERACS). Juli 2022. https://yankes.kemkes.go.id/view_artikel/236/enhanced-recovery-after-caesarean-section-eracs
7. Combs CA., Robinson T., et al. Reduction of post-operative opioid use after implementation of Enhanced Recovery After Cesarean Surgery (ERACS) program. American Journal of Obstetrics & Gynecology. 2020.:
8. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 88 Tahun 2014 Tentang Standar Tablet Tambah Darah Bagi Wanita Usia Subur Dan Ibu Hamil. Kemenkes, 2014.
9. Burch J. Preoperative carbohydrate loading in the enhanced recovery pathway. Br J Nurs. 2016 Jun 23;25(12):669-72. doi: 10.12968/bjon.2016.25.12.669. PMID: 27345069.
10. Wilson RD, Caughey AB, Wood SL, et al. Guidelines for antenatal and pre-operative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society Recommendations (Part 1). Am J Obstet Gynecol 2018; 219:523e1–15.
11. World Health Organization. Guideline: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. 2017.
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13. Directorate General of Specialized Medical Care. Guidelines for Enhanced Recovery after Cesarean Section. 2022.
14. Caughey AB, Wood SL, Macones GA, et al. Guidelines for intraoperative care in cesarean delivery: enhanced recovery after surgery (ERAS) Society recommendations. Am J Obstet Gynecol 2018;219: 533–44.
15. Wilson RD, Caughey AB, Wood SL, et al. Guidelines for antenatal and pre-operative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society Recommendations (Part 1). Am J Obstet Gynecol 2018; 219:523e1–15.
16. Cattin A, De Baene A, Achone E, et al. Evaluation of enhanced recovery for elective cesarean section. Gynecol Obstet Fertil Senol 2017;45: 202-9
17. Pirie S, Mulliner J. The introduction of an enhanced recovery pathway for elective caesarean sections. J Perioper Pract 2018;28: 46–50.
18. Lucas DN, Gough KL: Enhanced recovery in obstetrics--a new frontier? Int J Obstet Anesth. 2013; 22(2): 92–5