Advantages of the ERACS Method Over Ordinary Cesarean Procedures


ERACS stands for Enhanced Recovery after Caesarean Section . This method or procedure was originally used for patients undergoing colon surgery, but is now being applied to patients undergoing cesarean section.

The ERACS method is used to speed up the patient’s recovery process, reduce costs, for example by reducing the duration of hospital stay, reducing stress and side effects after surgery.

Overall ERACS method is divided into 3 parts, namely preoperative , interoperative , and postoperative . Each part has a stage that the patient must go through. For those of you who are curious about the benefits of the ERACS method, you need to listen to the reviews below.

1. The duration of fasting for eating and drinking is shorter
Every patient who will undergo a cesarean section usually has to fast, which is the fasting hour starting from midnight before the day of the operation. This step aims to reduce the risk of vomiting and complications in the lungs. However, this provision is different for those who use the ERACS method.

Patients who will have a cesarean section using the ERACS method only fast for 6 hours before the scheduled surgery. So, before that the patient can eat snacks such as fruit, vegetables, and low-fat foods. The patient also fasted for 2 hours before surgery. Prior to that, the patient could only drink water or fruit juices that had no fiber.

A study conducted in India whose results were reported in the journal Obstetric Anaesthesia and Critical Care in 2022 found that reducing the duration of fasting and consuming carbohydrates before surgery can reduce stress due to hunger and anxiety before surgery. In addition, this step also reduces insulin resistance and nutritional loss after surgery.

2. Reducing the use of drugs containing opioids after surgery
Opioids are part of the anesthetic process given to patients undergoing cesarean section in the form of neuraxial or systemic anesthesia. Quoted from the journal Cureus in 2019, the use of opioids is limited for health reasons for mothers and babies.

Referring to Children’s Mercy Kansas City , ERACS has a pain management program in which patients will be given ibuprofen and non-steroidal anti-inflammatory drugs (NSAIDs) on a scheduled basis. This drug is given by mouth or through an IV.

Then, the patient is also given anti-pain medication in the spine (spinal) or epidural in small doses but has a long anti-pain effect. This blend is applied to relieve pain while reducing side effects such as itching and nausea.

Another benefit of using these drugs is to reduce the use or dose of opioids. Still based on the same source, postoperative opioid use was reduced by 30 to 50 percent using this combination. As a result, the patient becomes faster to move such as standing and does not get tired easily.

3. Reducing nausea and pain after surgery
Some of the effects that are often felt by patients after undergoing a cesarean section are pain/pain and nausea. This condition can be minimized by following the ERACS method or procedure.

Reported by Children’s Mercy Kansas City , the ERACS procedure uses IV fluid therapy and uses a combination of anti-nausea drugs so that patients do not feel nauseous after surgery.

Then a study conducted in the city of Guangzhou, China in 2019 whose results were published in the journal Therapeutics and Clinical Risk Management in 2020 concluded that this method is very useful for:

Reduces pain after surgery.
Reduces the incidence of complications such as nausea.
Increase patient satisfaction.
Reducing the cost of childbirth in the hospital.

4. Reducing the duration of hospital stay
As is well known, patients who undergo cesarean section take a little longer than those who give birth vaginally to be discharged from the hospital. The long duration of stay in addition to increasing costs also causes the availability of room in the hospital to be less.

The ERACS method whose implementation is divided into 3 parts makes the patient’s healing process faster so that the patient can immediately leave the hospital.

The duration of stay for patients following the ERACS method is not more than 2 days. While a typical cesarean section takes between 2 to 4 days to be able to go home.

5. Reducing the number of hospitalizations
One of the causes of patients being re-admitted after undergoing a cesarean section is an infection such as sepsis. However, as noted in a 2021 scientific article in the journal Frontiers in Medicine , the readmission rate for patients using the ERACS method is decreasing.

So those are the 5 benefits that will be obtained for patients or prospective mothers who take part in the ERACS program. For your information, not all hospitals have this program, so you should first ask the doctor or hospital in the city where you are.


Then patients who are interested in participating in ERACS will take part in information sessions and medical tests first to ensure whether the patient in question meets the requirements.