Enhanced recovery after surgery for cesarean delivery.
Current opinion in obstetrics & gynecology
PURPOSE OF REVIEW: The aim of this article is to describe enhanced recovery after surgery (ERAS) and its application to cesarean delivery.RECENT FINDINGS: ERAS is a standardized, multidisciplinary approach to improving the care of surgical patients, from the preoperative planning through the surgery and postoperative period. ERAS is associated with many benefits, including improved patient outcomes and satisfaction as well as reduced length-of-stay and cost. Obstetric implementation of ERAS protocols has lagged compared to other surgical subspecialties. Given the volume of cesarean deliveries worldwide, improving the quality and cost of care through broad application of ERAS could have significant benefits.SUMMARY: ERAS pathways specific to cesarean delivery should be implemented and can improve the quality of care provided.
View details for DOI 10.1097/GCO.0000000000000616
View details for PubMedID 32068543
- Acceptability of postnatal mood management through a smartphone-based automated conversational agent MOSBY-ELSEVIER. 2020: S62
- Cervical insufficiency, cerclage, and early preterm birth: differences among racial/ethnic subgroups MOSBY-ELSEVIER. 2020: S540
- Comparing insulin, metformin, and glyburide in treating diabetes in pregnancy and analyzing obstetric outcomes MOSBY-ELSEVIER. 2020: S481
- Effect of an automated conversational agent on postpartum mental health: A randomized, controlled trial MOSBY-ELSEVIER. 2020: S91
Obstetric outcomes for women receiving newer generation antiepileptic drugs: retrospective cohort study using claims database
MOSBY-ELSEVIER. 2019: S344–S345
View details for Web of Science ID 000454249401299
- Readmission following discharge on labetalol or nifedipine for management of hypertensive disorders of pregnancy MOSBY-ELSEVIER. 2019: S341
- Adverse Pregnancy Outcomes Among Women With Urinary Tract Infections: Comparing Sensitive and Resistant Organisms LIPPINCOTT WILLIAMS & WILKINS. 2017: 37S
- Glomus Tumor Excision With Clitoral Preservation JOURNAL OF LOWER GENITAL TRACT DISEASE 2016; 20 (2): e20-e21
- Uropathogens and antibiotic resistance temporal trends among pregnant women: updated assessment and comparison from 2005-2014 MOSBY-ELSEVIER. 2016: S338–S339
Improving cervical cancer screening rates in an urban HIV clinic.
2014; 26 (9): 1186–93
Human immunodeficiency virus (HIV)-infected women are at increased risk of invasive cervical cancer; however, screening rates remain low. The objectives of this study were to analyze a quality improvement intervention to increase cervical cancer screening rates in an urban academic HIV clinic and to identify factors associated with inadequate screening. Barriers to screening were identified by a multidisciplinary quality improvement committee at the Washington University Infectious Diseases clinic. Several strategies were developed to address these barriers. The years pre- and post-implementation were analyzed to examine the clinical impact of the intervention. A total of 422 women were seen in both the pre-implementation and post-implementation periods. In the pre-implementation period, 222 women (53%) underwent cervical cancer screening in the form of Papanicolaou (Pap) testing. In the post-implementation period, 318 women (75.3%) underwent cervical cancer screening (p < 0.01). Factors associated with lack of screening included fewer visits attended (pre: 4.2 ± 1.5; post: 3.4 ± 1.4; p < 0.01). A multidisciplinary quality improvement intervention was successful in overcoming barriers and increasing cervical cancer screening rates in an urban academic HIV clinic.
View details for DOI 10.1080/09540121.2014.894610
View details for PubMedID 24625234
View details for PubMedCentralID PMC4065211