[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100611618":3},{"organization":4,"armGroups":7,"interventions":10,"overallOfficials":10,"centralContacts":10,"locations":10,"responsibleParty":12,"collaborators":10,"id":16,"slug":17,"hasResults":18,"nctId":19,"briefTitle":20,"officialTitle":20,"acronym":21,"eligibilityCriteria":22,"healthyVolunteers":18,"sex":23,"minAge":24,"maxAge":25,"enrollmentInfo":26,"targetDuration":10,"studyType":29,"phases":10,"briefSummary":30,"conditions":31,"keywords":33,"overallStatus":35,"whyStopped":10,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":10},{"fullName":5,"class":6},"Assiut University","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":10},"Enhanced Recovery After Surgery protocol for emergency cesarean section",null,"Application of ERAS protocol delivered perioperatively and postoperatively as per institutional ERAS guidelines.",{"type":13,"investigatorFullName":14,"investigatorTitle":15,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Mahmoud Mohamed Abbady Hussein","Resident physician","100611618","enhanced-recovery-after-emergency-cesarean-section-a-comparative-study-assessing-postoperative-recovery-and-outcomes-100611618",false,"NCT07242924","Enhanced Recovery After Emergency Cesarean Section: A Comparative Study Assessing Postoperative Recovery and Outcomes","ERAS","Inclusion Criteria:\n\n* singleton pregnancy who undergoing emergency cesarean section after 34weeks and accepting to be included in the study.\n\nExclusion Criteria:\n\n* Pregnant woman who had previous rupture uterus.\n* Other medical disorders as hypertensive disorder during pregnancy, cardiac disease.\n* Intra-operative complications necessitating changes in post-operative care e.g. bowel injury, urinary tract injury.\n* Hemodynamically unstable (post-partum hemorrhage)","FEMALE","18 Years","45 Years",{"count":27,"type":28},100,"ESTIMATED","OBSERVATIONAL","Cesarean section (CS) remains one of the most common major surgical procedures worldwide, with emergency CS accounting for approximately 30% of cases. Emergency CS presents unique challenges including increased maternal stress, higher complication rates, and prolonged recovery compared to elective procedures . Enhanced Recovery After Surgery (ERAS) protocols offer a promising approach to optimize outcomes in this population.\n\nOriginally developed for colorectal surgery, ERAS principles have been successfully adapted to obstetric practice over the past decade. These evidence-based protocols emphasize multimodal interventions including preoperative counseling, optimized analgesia, early mobilization, and timely nutrition. In obstetrics, ERAS implementation has demonstrated reduced length of stay, decreased opioid use, and improved patient satisfaction for elective CS .\n\nApplication of ERAS to emergency CS requires special considerations due to the urgent nature of the procedure. Modified protocols focus on rapid preoperative assessment, regional anesthesia with intrathecal opioids, and immediate postoperative care initiation . Emerging evidence suggests these adaptations maintain benefits while accommodating time constraints . Key outcomes include reduced postoperative pain, earlier return of bowel function, and improved breastfeeding rates .\n\nCurrent research demonstrates ERAS protocols can be safely implemented in emergency CS with proper staff training and institutional support . Ongoing studies continue to refine optimal practices, particularly regarding fluid management and thromboprophylaxis . As evidence accumulates, standardized guidelines for emergency CS ERAS pathways are expected to emerge .",[21,32],"Cesarean Section Pain",[21,34],"ERAS, emergency cs","NOT_YET_RECRUITING","2025-11-19",{"date":38,"type":39},"2025-11-21","ACTUAL",{"date":41,"type":28},"2025-12-01",{"date":43,"type":28},"2028-12-01",{"name":5,"class":6}]