Perbedaan Tingkat Nyeri pada Pasien Post Operasi Sectio Caesarea dengan Metode Enhanced Recovery  After Cesarean Surgery dan Konvensional:  A Systematic Review

Andra Mahar Fadillah; Rizki Ramadhana; Budi Pratama

Authors

Andra Mahar Fadillah Universitas Yarsi
Rizki Ramadhana Universitas Yarsi
Budi Pratama Universitas Yarsi

Keywords:

Tingkat nyeri ERACS, Sectio cesarea, SC konvensional dan ERACS

Abstract

Latar Belakang: Metode Enhanced Recovery After Caesarean Surgery (ERACS) bertujuan untuk mengurangi nyeri dan mempercepat pemulihan dibandingkan dengan pendekatan non-ERACS yang lebih konvensional. Penelitian ini melakukan systematic review untuk mengevaluasi efektivitas kedua metode dalam manajemen nyeri pasca-operasi. Metode: Systematic review ini melibatkan pencarian literatur menggunakan database Google Scholar dan Pubmed. Artikel yang relevan diidentifikasi berdasarkan perbandingan tingkat nyeri antara pasien yang menjalani sectio caesarea dengan metode ERACS dan non-ERACS. Penilaian kualitas artikel dilakukan menggunakan STROBE. Hasil dan Pembahasan: Hasil review 8 jurnal yang telah dinilai masuk kriteria inklusi penelitian ini menunjukkan bahwa penerapan protokol ERACS secara signifikan mengurangi tingkat nyeri pasca-operasi dibandingkan dengan metode non-ERACS. Kesimpulan: Metode ERACS terbukti lebih efektif dalam mengelola nyeri pasca-sectio caesarea dibandingkan dengan pendekatan konvensional.

References

Gary Cunninghan, Kenneth Leveno, Dashe, Hoffman, Spong, and Casey, Williams obstetrics 26 edition 2022, 22nd ed. McGrawHill, 2022.

R. D. Wilson et al., “Guidelines for Antenatal and Preoperative care in Cesarean Delivery: Enhanced Recovery After Surgery Society Recommendations (Part 1),” Am J Obstet Gynecol, vol. 219, no. 6, pp. 523.e1-523.e15, Dec. 2018, doi: 10.1016/j.ajog.2018.09.015.

F. Kifle, P. Kenna, S. Daniel, S. Maswime, and B. Biccard, “A scoping review of Enhanced Recovery After Surgery (ERAS), protocol implementation, and its impact on surgical outcomes and healthcare systems in Africa,” Perioperative Medicine, vol. 13, no. 1, Aug. 2024, doi: 10.1186/s13741-024-00435-2.

A. B. Caughey et al., “Guidelines for intraoperative care in cesarean delivery: Enhanced Recovery After Surgery Society Recommendations (Part 2),” Am J Obstet Gynecol, vol. 219, no. 6, pp. 533–544, Dec. 2018, doi: 10.1016/j.ajog.2018.08.006.

E. Von Elm, D. G. Altman, M. Egger, S. J. Pocock, P. C. Gøtzsche, and J. P. Vandenbroucke, “The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies,” 2007. [Online]. Available: www.plosmedicine.org

J. L. Grasch, J. C. Rojas, M. Sharifi, M. M. McLaughlin, S. S. Bhamidipalli, and D. M. Haas, “Impact of Enhanced Recovery After Surgery pathway for cesarean delivery on postoperative pain,” AJOG Global Reports, vol. 3, no. 1, Feb. 2023, doi: 10.1016/j.xagr.2023.100169.

A. Millizia, T. Yudhi Iqbal, and N. I. Fadhilati, “Comparison Between Eracs and Non Eracs Methods on The Level of Pain and Mobilization in Post-Caesarean Section Patients,” 2023.

U. Afreen, F. e. K. Faisal, M. Khalid, Z. Rao, R. Mustafa, and S. Afreen, “Enhanced Recovery After Caesarean Section – An Improved Pathway Than Conventional Care For Reducing Hospital Stay,” Journal of Ayub Medical College, vol. 36, no. 1, pp. 50–55, 2024, doi: 10.55519/JAMC-01-12522.

J. Pan et al., “The advantage of implementation of enhanced recovery after surgery (ERAS) in acute pain management during elective cesarean delivery: A prospective randomized controlled trial,” Ther Clin Risk Manag, vol. 16, pp. 369–378, 2020, doi: 10.2147/TCRM.S244039.

M. Baluku, F. Bajunirwe, J. Ngonzi, J. Kiwanuka, and S. Ttendo, “A Randomized Controlled Trial of Enhanced Recovery after Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda,” Anesth Analg, vol. 130, no. 3, pp. 769–776, Mar. 2020, doi: 10.1213/ANE.0000000000004495.

R. Mundhra, D. K. Gupta, A. Bahadur, A. Kumar, and R. Kumar, “Effect of Enhanced Recovery after Surgery (ERAS) protocol on maternal outcomes following emergency caesarean delivery: A randomized controlled trial,” Eur J Obstet Gynecol Reprod Biol X, vol. 22, Jun. 2024, doi: 10.1016/j.eurox.2024.100295.

E. O. Ubom et al., “Enhanced recovery protocol after cesarean delivery: impact on opioid use and pain perception,” AJOG Global Reports, vol. 3, no. 3, Aug. 2023, doi: 10.1016/j.xagr.2023.100220.

B. N. Emelinda et al., “Practice of Enhanced Recovery after Caesarean Delivery: A Randomised Controlled Clinical Trial in a Tertiary Hospital in Yaoundé-Cameroon,” Journal of Obstetric Anaesthesia and Critical Care, vol. 14, no. 1, pp. 67–72, Jan. 2024, doi: 10.4103/joacc.joacc_14_23.