Year: 2025 | Month: January | Volume: 12 | Issue: 1 | Pages: 694-705
DOI: https://doi.org/10.52403/ijrr.20250176
Hemodynamic Differences in Patients Undergoing Cesarean Section with ERACS and Non-ERACS Methods Using Spinal Anesthesia at Siti Hawa Mother and Child Hospital Padang
Nabilah Aisyah Aldhiah1, Hudila Rifa Karmia2, Roslaili Rasyid3, Rini Rustini4, Selfi Renita Rusjdi5
1Department of Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
2Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
3Department of Microbiology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
4Department of Anesthesiology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
5Department of Parasitology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Corresponding Author: Nabilah Aisyah Aldhiah
ABSTRACT
Cesarean section is a surgical procedure to terminate pregnancy through an abdominal incision, which often causes hemodynamic changes, such as hypotension and increased heart rate due to spinal anesthesia. The Enhanced Recovery After Cesarean Section (ERACS) protocol was developed to reduce these complications through a perioperative care approach, including better pain control, early mobilization, and fluid management compared to non ERACS methods. This study aims to analyze the differences in hemodynamic parameters between ERACS and non ERACS methods in cesarean section patients with spinal anesthesia at Siti Hawa Mother and Child Hospital Padang.
This is an observational analytic study using a cross-sectional approach. The sample consisted of 72 cesarean section patients, with 36 samples for each group. Data collection was conducted prospectively from September to November 2024. The instrument used was primary data obtained through observation and recording of hemodynamic parameters on the patient’s vital sign monitor.
The results of this study showed significant differences in the average systolic pressure, diastolic pressure, and mean arterial pressure between the preoperative and intraoperative stages at 5, 10, and 15 minutes after sub arachnoid block (SAB) in both ERACS and non ERACS methods (p-value > 0.05). Meanwhile, heart rate showed a significant difference only at 15 minutes intraoperatively after spinal anesthesia (p-value < 0.05). The conclusion is that there is a difference in hemodynamics in patients undergoing cesarean section, with the ERACS method showing better hemodynamic stability compared to the non-ERACS method.
Keywords: cesarean section, ERACS, non ERACS, hemodynamics, spinal anesthesia
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