Systematic Review: The Effect of the Enhanced Recovery After Surgery (ERAS) Protocol on Recovery, Pain Management, and Length of Hospital Stay in Cesarean Section Patients

Authors

  • Sri Mulyati Poltekkes Kemenkes Jakarta III
  • Aticeh Aticeh Poltekkes Kemenkes Jakarta III
  • Raudhatul Munawarah Poltekkes Kemenkes Jakarta III
  • Nur Fitri Ayu Pertiwi Poltekkes Kemenkes Jakarta III
  • Endah Endah Poltekkes Kemenkes Jakarta III

DOI:

https://doi.org/10.37287/ijghr.v8i4.1945

Keywords:

cesarean section, ERAS protocol, length of stay, pain management, postoperative recovery

Abstract

Cesarean section surgery often causes pain and prolongs hospital stays. The Enhanced Recovery After Surgery (ERAS) protocol offers a fast and comprehensive recovery solution. This systematic review aims to evaluate the effect of the ERAS protocol on recovery, pain management, and length of hospital stay in cesarean section patients. Researchers selected the literature using the PRISMA guidelines. The selection stages include identification, screening, eligibility assessment, and inclusion. literature articles retrieved from PubMed, Google Scholar, ScienceDirect, and the Cochrane Library. The researchers used specific keywords such as ‘ERAS protocol,’ ‘cesarean section’, ‘postoperative recovery’, ‘pain management’, and ‘length of stay’ to limit the search to articles published in the past five years (2021–2026). This process yielded five relevant articles for analysis. The review results show the ERAS protocol effectively accelerates physiological function recovery and physical mobility. ERAS also significantly reduces pain scores. Furthermore, patients experience a shorter length of hospital stay. This protocol demonstrates high safety and efficiency profiles. Healthcare facilities must implement ERAS as a standard of maternal nursing care to improve the quality of service for cesarean section patients.

References

Al-Zoubi, F., Hassan, M., & Youssef, A. (2025). The efficacy of multimodal analgesia within the ERAS protocol for elective cesarean delivery: A quasi-experimental study. International Journal of Obstetric Anesthesia, 52, 103–112.

Chen, X., Li, Y., Wang, Z., & Zhang, H. (2024). The impact of severe postoperative pain on maternal psychological well-being after cesarean section: A prospective cohort study. Journal of Obstetric, Gynecologic & Neonatal Nursing, 53(2), 145–156.

Garcia, M., Perez, A., & Rodriguez, L. (2022). Enhanced Recovery After Surgery (ERAS) protocols in obstetrics: A comprehensive review of physiological benefits. International Journal of Obstetric Anesthesia, 49, 103–112.

Huang, X., Li, Y., Wang, Z., & Chen, H. (2024). Effects of a comprehensive ERAS protocol on bowel function and mobility after cesarean section: A randomized controlled trial. Obstetrics & Gynecology, 143(2), 234–242.

Liu, Y., & Wang, J. (2025). Transitioning from standard care to ERAS in cesarean delivery: Overcoming barriers and improving maternal outcomes. Maternal-Fetal Medicine, 7(1), 22–30.

Ljungqvist, O., & Nelson, G. (2026). Optimizing fluid management within the ERAS framework for high-risk cesarean patients. Journal of Clinical Anesthesia, 85, 111–119.

Macones, G. A., & Patel, R. (2023). Implementation of enhanced recovery after surgery (ERAS) and its impact on length of stay and readmission rates in post-cesarean women. American Journal of Obstetrics and Gynecology, 229(4), 456–464.

Ouyang, W., Zhang, L., & Liu, S. (2024). Early feeding and mobilization reduce gastrointestinal complications after cesarean section: A systematic review and meta-analysis. Maternal-Fetal Medicine, 6(1), 45–56.

Patel, R., & Rahman, S. (2024). Early mobilization and feeding within the ERAS protocol for cesarean section: Effects on gastrointestinal function and length of stay. American Journal of Obstetrics and Gynecology, 230(3), 345–352.

Smith, A., & Johnson, B. (2023). Postoperative pain management and physical mobility limitations following cesarean section. Journal of Clinical Nursing, 32(5), 789–798.

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Published

2026-05-11

How to Cite

Mulyati, S., Aticeh, A., Munawarah, R., Pertiwi, N. F. A., & Endah, E. (2026). Systematic Review: The Effect of the Enhanced Recovery After Surgery (ERAS) Protocol on Recovery, Pain Management, and Length of Hospital Stay in Cesarean Section Patients. Indonesian Journal of Global Health Research, 8(4), 125–130. https://doi.org/10.37287/ijghr.v8i4.1945

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