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Abstract
The rate of births with cesarean section delivery in Indonesia is increasing. Along with the increasing rate, various clinical methods are used to reduce maternal morbidity and mortality, one of which is the Enhanced Recovery After Cesarean Section (ERACS). ERACS aims to speed up recovery, reduce postoperative complications, shorten length of stay (LOS) and lower patient care operational costs of cesarean section. The purpose of this study is to compare operational costs and LOS of cesarean section patients with ERACS and non-ERACS methods.The reseach used was case-control study which was carried out at RSUD dr. Rehatta Kelet from October-December 2022. This study involved 71 patients who met the inclusion criteria. Data were obtained from the patients’ medical records. The data were analyzed by mann Whitney Test using SPSS software. The result shows that the difference in LOS and operational costs using ERACS and non-ERACS was statistically significant at P=0.0001. The study concludes that ERACS method reduces LOS and operational costs compared to non-ERACS methods. The authors recommend that the association of obstetricians and gynaecologists should encourage its members to apply EARCS whenever possible.
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References
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References
Amalia, D., & Diana, N. (2022). Pengaruh BOPO, CAR, dan FDR Terhadap Profitabilitas Bank Bukopin Syariah Periode 2013-2020. Jurnal Ilmiah Ekonomi Islam, 8(1), 1095. https://doi.org/10.29040/jiei.v8i1.4166
Baek, H., Cho, M., Kim, S., Hwang, H., Song, M., & Yoo, S. (2018). Analysis of length of hospital stay using electronic health records: A statistical and data mining approach. PloS One, 13(4). https://doi.org/10.1371/JOURNAL.PONE.0195901
Bowden, S. J., Dooley, W., Hanrahan, J., Kanu, C., Halder, S., Cormack, C., O’dwyer, S., & Singh, N. (2019). Fast-track pathway for elective caesarean section: a quality improvement initiative to promote day 1 discharge. BMJ Open Quality, 8(2). https://doi.org/10.1136/BMJOQ-2018-000465
Cattin, A., De Baene, A., Achon, E., Bersot, Y., Destoop, Q., Pelissier, A., Bonneau, S., Malinovsky, J. M., Graesslin, O., & Raimond, E. (2017). [Evaluation of enhanced recovery for elective cesarean section]. Gynecologie, Obstetrique, Fertilite & Senologie, 45(4), 202–209. https://doi.org/10.1016/J.GOFS.2017.02.006
Cahyaningtyas, A., & Rahmawati, A. (2020). Hubungan Mobilisasi Dini dengan Penyembuhan Luka Jahitan pada Ibu Nifas Post Operasi Sectio Caesarea. JURNAL ILKES (Jurnal Ilmu Kesehatan), 11(1), 164-172. doi:10.35966/ilkes.v11i1.161
Habib, A. S., & Ituk, U. (2018). Enhanced recovery after cesarean delivery [version 1; referees: 2 approved]. F1000Research, 7. https://doi.org/10.12688/F1000RESEARCH.13895.1/DOI
Khoirunnisa, F. N., Azizah, N., & Fauziah, N. (2023). Keberhasilan Menyusui Dan Lama Perawatan Pada Persalinan Dengan Metode Enhanced Recovery After Caesarean Section. Jurnal Ilmu Keperawatan Dan Kebidanan. https://garuda.kemdikbud.go.id/documents/detail/3310644
Macones, G. A., Caughey, A. B., Wood, S. L., Wrench, I. J., Huang, J., Norman, M., Pettersson, K., Fawcett, W. J., Shalabi, M. M., Metcalfe, A., Gramlich, L., Nelson, G., & Wilson, R. D. (2019). Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3). American Journal of Obstetrics and Gynecology, 221(3), 247.e1-247.e9. https://doi.org/10.1016/J.AJOG.2019.04.012
Mildawati, R., Imatul, N. ’, & Faizah, R. (2020). Faktor-Faktor Yang Memengaruhi Biaya Riil Pada Pasien Jkn Sectio Caesarea Rawat Inap Di Rsud Dr. Moewardi Tahun 2017. Jurnal Kesehatan Tujuh Belas, 2(1). https://ojs.stikestujuhbelas.ac.id/index.php/jurkestb/article/view/40
Monica, R. D., Firdaus, F. M., Lestari, I. P., Suryati, Y., Rohmayani, D., & Hendrati, A. (2021). Analisis Perbedaan Tarif Riil Rumah Sakit dengan Tarif Ina-CBG’s Berdasarkan Kelengkapan Medis Pasien Rawat Inap pada Kasus Persalinan Sectio Caesarea guna Pengendalian Biaya Rumah Sakit TNI AU Dr. M. Salamun Bandung. Jurnal Manajemen Informasi Kesehatan Indonesia, 9(1), 96–96. https://doi.org/10.33560/JMIKI.V9I1.289
Mullman, L., Hilden, P., Goral, J., Gwacham, N., Tauro, C., Spinola, K., Rosales, K., Collier, S., Holmes, L., Maccione, J., Pitera, R., Miller, R., & Yodice, P. (2020). Improved Outcomes With an Enhanced Recovery Approach to Cesarean Delivery. Obstetrics and Gynecology, 136(4), 685–691. https://doi.org/10.1097/AOG.0000000000004023
Nurhayati, I., & Nadjib, M. (2022). Analysis Of Length Of Stay Decrease Of Sc Patients With Eracs Protocol. Journals of Ners Community, 13(4), 375–380. https://doi.org/10.55129/JNERSCOMMUNITY.V13I4.2089
Peahl, A. F., Smith, R., Johnson, T. R. B., Morgan, D. M., & Pearlman, M. D. (2019). Better late than never: why obstetricians must implement enhanced recovery after cesarean. American Journal of Obstetrics and Gynecology, 221(2), 117.e1-117.e7. https://doi.org/10.1016/J.AJOG.2019.04.030
Rousseau, A., Sadoun, M., Aimé, I., Leguen, M., Carbonnel, M., & Ayoubi, J. M. (2017). [Comparative study about enhanced recovery after cesarean section: What benefits, what risks?]. Gynecologie, Obstetrique, Fertilite & Senologie, 45(7–8), 387–392. https://doi.org/10.1016/J.GOFS.2017.06.018
Sisi Milandri, 180301122, Siti Khotimah, SST. FT. , M. F., & Asyhara Naela Arifin, M. K. (2022). Pengaruh relaksasi nafas dalam terhadap penurunan nyeri pada post sectio caesarea: narrative review.
Sushan Purnaningrum, T., & Suryawati MKes, C. (2023). ERACS Method as a Solution to Allow Hospital and Patient Financing. The Eastasouth Management and Business, 1(02), 44–54. https://doi.org/10.58812/ESMB.V1I02.47
Tika, T. T., Sidharti, L., Himayani, R., & Rahmayani, F. (2022). Metode ERACS Sebagai Program Perioperatif Pasien Operasi Caesar: Jurnal Medika Hutama, 3(02 Januari), 2386–2391. http://jurnalmedikahutama.com/index.php/JMH/article/view/463
Ogunkua, O., & Duryea, E. L. (2021). Enhanced recovery after cesarean section. Contemporary Ob/Gyn, 66(5), 16-19.
Z., A. T. ., Sidharti, L. ., & Kurniawaty, E. . (2023). Side Effects of Sectio Caesarea ERACS Method . Medical Profession Journal of Lampung, 13(2), 34-37. https://doi.org/10.53089/medula.v13i2.596