择期剖宫产术后加速康复对新生儿结局的影响。
Effect of enhanced recovery after surgery for elective cesarean deliveries on neonatal outcomes.
机构信息
Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA.
University of Virginia School of Medicine, University of Virginia, Charlottesville, VA, USA.
出版信息
J Perinatol. 2022 Oct;42(10):1283-1287. doi: 10.1038/s41372-021-01309-x. Epub 2022 Jan 10.
OBJECTIVE
To evaluate the impact of initiation of an enhanced recovery after cesarean delivery (ERAC) protocol for elective cesarean delivery (CD) on neonatal outcomes.
STUDY DESIGN
We performed a retrospective analysis of elective CD at ≥39 weeks gestational age between September 2014 and August 2018 at a single institution before and after ERAC protocol implementation. Our primary outcome was composite neonatal complication rate and secondary outcome was rate of breastfeeding. We performed univariate analyses to detect differences in outcomes between the pre-ERAC and post-ERAC groups.
RESULTS
We included 362 neonates born via elective CD before (n = 135) and after (n = 227) ERAC implementation. The post-ERAC group experienced fewer composite neonatal complications (33.0% vs. 47.4%, p = 0.009) and greater breastfeeding rates (80.2% vs. 67.4%, p = 0.009) compared to the pre-ERAC group.
CONCLUSION
ERAC protocol implementation does not negatively impact neonates and may benefit both mother and baby.
目的
评估剖宫产术后加速康复（ERAC）方案在择期剖宫产（CD）中对新生儿结局的影响。
研究设计
我们对 2014 年 9 月至 2018 年 8 月在一家机构进行的≥39 孕周择期 CD 进行了回顾性分析，比较了 ERAC 方案实施前后的情况。我们的主要结局是复合新生儿并发症发生率，次要结局是母乳喂养率。我们进行了单变量分析，以检测 ERAC 实施前后组间结局的差异。
结果
我们纳入了 362 例择期 CD 分娩的新生儿，ERAC 实施前（n=135）和后（n=227）各 135 例。与 ERAC 实施前组相比，ERAC 实施后组的复合新生儿并发症发生率（33.0% vs. 47.4%，p=0.009）更低，母乳喂养率（80.2% vs. 67.4%，p=0.009）更高。
结论
ERAC 方案的实施不会对新生儿产生负面影响，反而可能对母婴双方都有益。
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