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NCT Number: NCT07830914

ERAS Protocol for Cesarean Delivery in Women With Placenta Previa

This study aims to evaluate the impact of Enhanced Recovery After Surgery protocols on maternal outcomes patient satisfaction and length of hospital stay following cesarean delivery in women with placenta previa. Women scheduled for elective cesarean delivery for placenta previa will be managed either with a standardized ERAS pathway or with conventional routine perioperative care.

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Key information

Conditions

Placenta Previa Behavior Female Urogenital Diseases and Pregnancy Complications Health Behavior Obstetric Labor Complications Patient Satisfaction Placenta Diseases Pregnancy Complications Treatment Adherence and Compliance Urogenital Diseases

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

About this study

Placenta previa is associated with significant maternal morbidity and prolonged hospitalization. Enhanced Recovery After Surgery pathways include patient education preoperative fasting optimization multimodal analgesia early oral intake early mobilization and early urinary catheter removal. This prospective study will include women with singleton pregnancy and sonographic diagnosis of placenta previa scheduled for elective cesarean delivery at Assiut University Hospital. Group A will receive ERAS pathway and Group B will receive conventional care. Outcomes including length of hospital stay postoperative pain time to ambulation time to oral intake and patient satisfaction will be compared.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Singleton pregnancy
  • Sonographic diagnosis of placenta previa
  • Scheduled for elective cesarean delivery
  • Ability to provide informed consent

Exclusion criteria

  • Severe medical diseases affecting postoperative recovery including hypertension and diabetes mellitus
  • Hemodynamic instability before surgery
  • ICU admission immediately after surgery
  • Refusal to participate

Treatment and study plan

Enhanced recovery after surgery protocol

Other

Standardized ERAS pathway for cesarean delivery including preoperative counseling, clear fluids allowed up to 2 hours and solid food fasting for 6 hours, optimization of hemoglobin, multimodal analgesia with scheduled acetaminophen and nonsteroidal anti-inflammatory drugs with limited opioids, prophylaxis for postoperative nausea and vomiting, early oral fluid and solid intake, early mobilization with sitting and standing and ambulation within 6 to 12 hours, early Foley catheter removal within 12 hours when clinically feasible, and standardized discharge planning. This intervention is applied only to the Experimental Arm.

Conventional Perioperative Care

Other

Routine conventional perioperative care currently practiced at Assiut University Hospital including traditional preoperative fasting, standard analgesia, usual timing of oral intake, mobilization and urinary catheter removal according to physician preference.

Primary outcomes

  1. Length of hospital stay

    Time frame: Up to 7 days

    Duration of hospital stay measured in hours from end of cesarean delivery to hospital discharge

Secondary outcomes

  1. Postoperative pain score at 6 hours

    Time frame: At 6 hours after surgery

    Pain score assessed using 0 to 10 Visual Analogue Scale with 0 indicating no pain and 10 indicating worst imaginable pain with higher scores indicating worse pain

  2. Postoperative pain score at 24 hours

    Time frame: At 24 hours after surgery

    Pain score assessed using 0 to 10 Visual Analogue Scale with 0 indicating no pain and 10 indicating worst imaginable pain with higher scores indicating worse pain

  3. Time to first ambulation

    Time frame: Up to 48 hours

    Time in hours from end of surgery to first ambulation

  4. Time to first oral intake

    Time frame: Up to 24 hours

    Time in hours from end of surgery to first oral fluid intake

  5. Time to urinary catheter removal

    Time frame: Up to 48 hours

    Time in hours from end of surgery to Foley catheter removal

  6. Postpartum hemorrhage

    Time frame: Up to 24 hours

    Number of participants who develop postpartum hemorrhage with blood loss greater than 1000 milliliters

  7. Requirement for blood transfusion

    Time frame: Up to 7 days

    Number of participants who require packed red blood cells transfusion

  8. Patient satisfaction score

    Time frame: At 24 hours after surgery

    Score on the Quality of Recovery-15 questionnaire scale ranges from 0 to 150 with higher scores indicating better recovery and satisfaction

Study contacts

Contact information is provided by the study sponsor or research team.

Ahmed M Adly, Resident

CONTACT

[email protected]

01015727207

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

Impact of Enhanced Recovery After Surgery Protocol on Maternal Recovery Patient Satisfaction and Length of Hospital Stay Following Cesarean Delivery in Women With Placenta Previa

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Sep 21, 2026
Registry last updated
Sep 22, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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