New service launched to reduce C-section recovery period
30 April 2015
On Thursday 30 April, the maternity and anaesthetic team at Southend University Hospital launched an innovative new service – enhanced recovery in obstetrics (ERPO).
Enhanced recovery is a modern, evidence-based approach that
helps people recover more quickly after having major surgery and
project leader, Mr Venkat Raman, consultant obstetrician &
gynaecologist, and his team have applied this methodology to
The average length of hospital stay after caesarean birth in UK
hospitals is between 2-3 days and the National Institute for Health
and Care Excellence (NICE) suggests that women who are recovering
well can be discharged after just 24 hours, which is what the ERPO
service aims to achieve.
Mr Raman said: "We felt that the principles of enhanced recovery
can be applied to women having caesarean births and the aim is
primarily to get the patient in a good state at the time of
caesarean section to facilitate speedy recovery so that mum and
baby spend quality time after delivery in their comfortable home
surroundings improving their satisfaction."
Departments from across the hospital have been working towards
this for the past year. The service introduces a multidisciplinary
team consisting of: obstetricians, obstetric anaesthetists,
midwives, managers and IT professionals.
Mr Raman added: "The guidelines are expected to achieve a
reduction in pre-operative starving times, better management of
pain relief, better prevention of nausea and vomiting following
surgery; early mobilisation minimising complications such as DVT.
Overall, all these would contribute to better patient
The new service will be effectively monitored with a new
purpose-built database which the team can learn lessons from as
well as introduce changes to specific areas of the pathway. In the
long run this can be shared with other hospitals in the region.
- Ric Pullen - IT development manager
- Dr Bobby Krishnachetty, consultant anaesthetist
- Paul Tracy - IT developer of application/database
- Rose Marie Copper - midwife obstetrics and gynaecology
- Mandy Porter - PA to Mr Raman
- Mr Venkat Raman, consultant obstetrics and gynaecology
- Dr Nicholas Coker, consultant
- Colleen Begg - head of midwifery and clinical director