Perbedaan Kecepatan Mobilisasi Jalan dan Durasi Rawat Inap Pasca Sectio Caesarea Metode Enhanced Recovery After Caesarean Surgery dengan Konvensional di RS Bina Sehat Jember

Abstract

Introduction: ERACS is a caesarean section method using multidrug anesthesia, ERACS used bupivacaine at a reduced dose (<10 mg) and combined with fentanyl and morphine to maintain the quality of anesthesia, minimize side effects, and speed up maternal recovery. ERACS allows patients to mobilize more quickly with minimal pain and reduces the duration of postoperative hospitalization. Objective: Determine the difference in the speed of ambulatory mobilization and duration of hospitalization for patients after ERACS and conventional surgery Method: Observational analytics with a cross sectional approach carried out in September – November 2023 at Bina Sehat Jember Hospital. The number of samples in this study was 100 medical records using purposive sampling technique with the Slovin formula. The data was analyzed using univariate and bivariate with Mann-Whitney test (95%) in SPSS for Windows. The results of bivariate analysis is significant if the p value is > 0.05. Result: The results showed that the average ambulatory mobility after ERACS was 10.10 hours, while after conventional method was 14.76 hours and the duration of hospitalization after ERACS was 2.22 days, while after conventional was 2.98 days. This is supported by the results of bivariate statistical tests using Mann-Whitney, it was found that the significance value (p) for both variables was 0.000 (p < 0.05), which means there is a significant difference Conclusion: The ERACS SC method can speed up the ability to mobilize after surgery by up to 4.66 hours and the duration of hospitalization is 0.76 days shorter than the conventional SC method.