Vol 5 No 9 (2019): EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)
Articles

SECOND AUDIT OF THE IMPROVED REHABILITATION AFTER CAESAREAN SECTION AT THE MOTHER-CHILD COMPLEX AT THE MILITARY HOSPITAL OF ANTSIRANANA.

RAELISON JG, RABARIKOTO HF
Complexe mère-enfant, Hôpital Militaire, Antsiranana
RAHANITRINIAINA NMP
Réanimation chirurgicale, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona, Antananarivo
VELOMORA A
Anesthésie Réanimation, Hopital Manara-penitra, Antsiranana
RAVOAVY SA
Complexe mère-enfant, Hôpital Militaire, Antsiranana
RAMAROLAHY RA
Réanimation médicale, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona, Antananarivo
RAJAONERA AT
Réanimation chirurgicale, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona, Antananarivo
Published October 1, 2019
Keywords
  • Caesarean section,
  • evaluation,
  • improved rehabilitation
How to Cite
RAELISON JG, RABARIKOTO HF, RAHANITRINIAINA NMP, VELOMORA A, RAVOAVY SA, RAMAROLAHY RA, & RAJAONERA AT. (2019). SECOND AUDIT OF THE IMPROVED REHABILITATION AFTER CAESAREAN SECTION AT THE MOTHER-CHILD COMPLEX AT THE MILITARY HOSPITAL OF ANTSIRANANA. EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063), 5(9), 13-20. Retrieved from https://ephjournal.com/index.php/mhs/article/view/1555

Abstract

Introduction: The first audit shows the difficulty of implementing early feeding, oral analgesia, removal of the urinary catheter as well as stopping the infusion, with a median duration of 3.5 days. Our objectives are to evaluate adherence to the protocol after the audit and to determine the impact on the stay hard.

METHOD: This is a prospective observational audit study, from February to July 15, 2019, at the Mother-Child Complex of the Antsiranana Military Hospital. Parturients operated for caesarean section under spinal anesthesia, ASA 1 or 2 are included in this study.

Results: Seventy-four patients were retained. Intraoperatively, optimization of vascular filling was performed in 60 patients (81%). All patients received prevention of postoperative nausea / vomiting and intrathecal morphine. In the post-intervention ward, oral analgesia is started within one hour after surgery in all patients (100%). The peripheral venous route is obstructed in 71 cases (96%). The urinary catheter was removed from 71 patients (96%). Seventy-two cases (97%) resumed drinking in unlimited quantities and a light diet at the fourth hour. Two cases (3%) had postoperative nausea and urinary retention requiring an evacuating catheter. The median length of stay of the mother / newborn couple in hospital was 3 (2-3) days.

Conclusion: there is an increase in the adhesion of the protocol. It decreases the length of stay of hospitalization.

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