The Implementation of Regulation About Enhanced Recovery After Caesarean Surgery in Indonesia: A Literature Review

Authors

Iswahyudi , I Gusti Ayu Putri Kartika , Sagung Putri ME Purwani , Ida Bagus Gede Fajar Manuaba

DOI:

10.29303/jppipa.v9iSpecialIssue.6175

Published:

2023-12-15

Issue:

Vol. 9 No. SpecialIssue (2023): UNRAM journals and research based on science education, science applications towards a golden Indonesia 2045

Keywords:

Effectiveness, ERACS, Human rights, Indonesia, Level of pain

Review

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Iswahyudi, I., Kartika, I. G. A. P. ., Purwani, S. P. M. ., & Manuaba, I. B. G. F. . (2023). The Implementation of Regulation About Enhanced Recovery After Caesarean Surgery in Indonesia: A Literature Review . Jurnal Penelitian Pendidikan IPA, 9(SpecialIssue), 8–15. https://doi.org/10.29303/jppipa.v9iSpecialIssue.6175

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Abstract

Enhanced Recovery After Cesarean Surgery (ERACS) has been popular since the COVID-19 pandemic to reduce the length of stay in the hospital which is risky for spreading the virus. Apart from that, ERACS is also aimed at reducing the level of pain and accelerating the ability to mobilize. This study aimed to review journal articles related to the implementation of ERACS in Indonesia based on the Decree of The Minister of Health of The Republic of Indonesia Number Hk.01.07/Menkes/1541/2022 Concerning National Guidelines for Medical Services for Anesthesiology and Intensive Therapy related to medical, ethical, and legal trends and initiative ERACS to the concept of pain management as a human right. This study used Scholar Google as a search database using keywords: ("Enhanced Recovery After Caesarean Section" OR “ERACSâ€) AND “Indonesiaâ€. The findings according to 8 journal articles were ERACS is effective in reducing the level of pain, length of stay, infection, and complication. However, ERACS has no impact on colostrum production. There are some side effects that happened to less than half of the sample, which are nausea, vomiting, and chills. However, the hospitals need to arrange the specific protocol of ERACS during pre-operative, intra-operative, and post-operative

References

Adha, E. N., & Anita, N. (2023). The Influence of Eracs and Non Eracs Sectio-Caesarea Delivery Methods on Early Mobilization Time of Post-Partum Mothers. Proceedings of the International Conference on Nursing and Health Sciences, 4(2), 545–550. https://doi.org/10.37287/picnhs.v4i2.2077

Admass, B. A., Hailemariam, A. S., Agegnehu, A. F., & Getahun, A. B. (2022). Parental Satisfaction and Associated Factors toward Their Child’s Anesthesia Service at a Comprehensive Specialized Referral Hospital in Ethiopia, 2021: A Cross-Sectional Study. Frontiers in Pediatrics. 10:849969 https://doi.org/10.3389/fped.2022.849969

Ali, Y., Khan, M. W., Mumtaz, U. U., Salman, A., Muhammad, N. A., & Sabir, M. (2018). Identification of Factors Influencing the Rise of Cesarean Sections Rates in Pakistan, Using McDm. International Journal of Health Care Quality Assurance. https://doi.org/10.1108/ijhcqa-04-2018-0087

Anggraini, N. (2023). Healthcare Access and Utilization in Rural Communities of Indonesia. Journal of Community Health Provision, 3(1), 14-19. https://doi.org/10.55885/jchp.v3i1.214

Aziz, M. A. M. M. A. M. A. L. H. A., & Warda, M. D. ; E. A. F. O. M. (2022). The Impact of Uterine Incision Closure Technique on the Post Cesarean Residual Myometrial Thickness and Scar Defects. A Novel Technique at a Tertiary Care Hospital. The Medical Journal of Cairo University, 90(12), 2005-2011. https://doi.org/10.21608/mjcu.2022.286925

Badreldin, N., DiTosto, J. D., Holder, K., Beestrum, M., & Yee, L. M. (2023). Interventions to Reduce Inpatient and Discharge Opioid Prescribing for Postpartum Patients: A Systematic Review. Journal of Midwifery & Women S Health, 68(2), 187-204. https://doi.org/10.1111/jmwh.13475

Barker, J. C., Joshi, G. P., & Janis, J. E. (2020). Basics and Best Practices of Multimodal Pain Management for the Plastic Surgeon. Plastic and Reconstructive Surgery Global Open, 8(5), e2833. https://doi.org/10.1097/gox.0000000000002833

Bhatia, M., Banerjee, K., Dixit, P., & Dwivedi, L. K. (2020). Assessment of Variation in Cesarean Delivery Rates between Public and Private Health Facilities in India from 2005 to 2016. Jama Network Open, 3(8), e2015022. https://doi.org/10.1001/jamanetworkopen.2020.15022

Bollag, L., Lim, G., Sultan, P., Habib, A. S., Landau, R., Zakowski, M., Tiouririne, M., Bhambhani, S., & Carvalho, B. (2021). Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery after Cesarean. Anesthesia & Analgesia, 132(5), 1362-1377. https://doi.org/10.1213/ane.0000000000005257

Caughey, A. B., Wood, S. L., Macones, G. A., Wrench, I., Huang, J., Norman, M., Pettersson, K., Fawcett, W., Shalabi, M. M., Metcalfe, A., Gramlich, L., Nelson, G., & Wilson, R. D. (2019). Guidelines for Intraoperative Care in Cesarean Delivery: Enhanced Recovery After Surgery Society Recommendations (Part 2). Obstetric Anesthesia Digest. https://doi.org/10.1097/01.aoa.0000575072.88651.e7

Constitution of Indonesia. (1945). Constitution of the Republic of Indonesia 1945 Article 28J. Available: Retrieved from https://www.bkn.go.id/wp-content/uploads/2014/06/UUD-1945.pdf

Fay, E. E., Hitti, J. E., Delgado, C. M., Savitsky, L. M., Mills, E. B., Slater, J. L., & Bollag, L. A. (2019). An enhanced recovery after surgery pathway for cesarean delivery decreases hospital stay and cost. American Journal of Obstetrics and Gynecology, 221(4), 349-e1. https://doi.org/10.1016/j.ajog.2019.06.041

Gelb, A. W., Morriss, W. W., Johnson, W. D., & Merry, A. (2018). World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Canadian Journal of Anesthesia/Journal Canadien D Anesthésie. https://doi.org/10.1007/s12630-018-1111-5

Gutema, W. G., Jire, T. K., & Aboma, D. (2020). Rate, Maternal and Fetal Outcome of Cesarean Delivery Performed by IESO at Shenen Gibe General Hospital, Jimma South West Ethiopia: A Descriptive Retrospective Data. Journal of Woman S Reproductive Health. https://doi.org/10.14302/issn.2381-862x.jwrh-20-3439

Heijnen, T., Vandebergh, V., Vandepitte, C., & Buck, R. (2021). Regional Anesthesia in Coronavirus Disease 2019 Pandemic. Current Opinion in Anaesthesiology. https://doi.org/10.1097/aco.0000000000001050

Ituk, U., & Habib, A. S. (2018). Enhanced recovery after cesarean delivery. F1000Research, 7. https://doi.org/10.12688/f1000research.13895.1

Kleiman, A. M., Chisholm, C. A., Dixon, A. J., Sariosek, B. M., Thiele, R. H., Hedrick, T. L., Carvalho, B., & Tiouririne, M. (2020). Evaluation of the impact of enhanced recovery after surgery protocol implementation on maternal outcomes following elective cesarean delivery. International Journal of Obstetric Anesthesia, 43, 39–46. https://doi.org/10.1016/j.ijoa.2019.08.004

Komatsu, R., Carvalho, B., & Flood, P. (2017). Recovery after Nulliparous Birth. Anesthesiology. https://doi.org/10.1097/aln.0000000000001789

Lee, K.-N., Joo, Y. J., Choi, S. Y., Park, S. T., Lee, K.-Y., Kim, Y., & Son, G. H. (2021). Content Analysis and Quality Evaluation of Cesarean Delivery–Related Videos on YouTube: Cross-Sectional Study. Journal of Medical Internet Research. https://doi.org/10.2196/24994

MacGregor, C., Neerhof, M. G., Sperling, M. J., Alspach, D., Plunkett, B. A., Choi, A., & Blumenthal, R. (2020). Post-Cesarean Opioid Use after Implementation of Enhanced Recovery after Surgery Protocol. American Journal of Perinatology. https://doi.org/10.1055/s-0040-1721075

Macones, G. A., Caughey, A. B., Wood, S. L., Wrench, I., Huang, J., Norman, M., Pettersson, K., Fawcett, W., Shalabi, M. M., Metcalfe, A., Gramlich, L., Nelson, G., & Wilson, R. D. (2019a). Guidelines for Postoperative Care in Cesarean Delivery: Enhanced Recovery After Surgery (ERAS) Society Recommendations (Part 3). American Journal of Obstetrics and Gynecology. https://doi.org/10.1016/j.ajog.2019.04.012

Mauliza, M., Rizka, A., & Mellaratna, W. (2022). Patient satisfaction level of enhanced recovery after c-section at abby maternal and child hospital lhokseumawe. Eureka Herba Indonesia, 4(1), 171-175. https://doi.org/10.37275/ehi.v4i1.60

Millizia, A., Iqbal, T. Y., & Fadhilati, N. I. (2023). Comparison between Eracs and Non Eracs Methods on The Level of Pain and Mobilization in Post-Caesarean Section Patients. AVERROUS: Jurnal Kedokteran Dan Kesehatan Malikussaleh, 9(2), 1–9. https://doi.org/10.29103/averrous.v9i2.11529

Ministry of Health Indonesia. (2015). Regulation of The Minister of Health of The Republic of Indonesia Number 10 of 2015 Concerning Nursing Service Standards in Special Hospitals. Retrieved from http://hukor.kemkes.go.id/uploads/produk_hukum/PMK%20No.%2010%20ttg%20Standar%20Pelayanan%20Keperawatan%20di%20RS%20Khusus.pdf

Ministry of Health Indonesia. (2017). Decree of The Minister of Health of The Republic Indonesia Number Hk.01.07/Menkes/91/2017 Concerning National Guidelines for Medical Services Management of Pregnancy Complications. In The Minister of Health of The Republic of Indonesia. Retrieved from http://hukor.kemkes.go.id/uploads/produk_hukum/KMK_No._HK_.01_.07-MENKES-659-2017_ttg_Formularium_Nasional_.pdf

Ministry of Health Indonesia. (2022). Decree of The Minister of Health of The Republic of Indonesia Number Hk.01.07/Menkes/1541/2022 Concerning National Guidelines for Medical Services for Anesthesiology and Intensive Therapy. Retrieved from https://yankes.kemkes.go.id/unduhan/fileunduhan_1664864389_482964.pdf

Mullman, L., Hilden, P., Goral, J., Gwacham, N. I., Tauro, C., Spinola, K., Rosales, K., Collier, S., Holmes, L., Maccione, J., Pitera, R., Miller, R. D., & Yodice, P. (2020). Improved Outcomes With an Enhanced Recovery Approach to Cesarean Delivery. Obstetrics and Gynecology. https://doi.org/10.1097/aog.0000000000004023

Murata, H., Vanegas, C., & Ogami-Takamura, K. (2021). Ultrasound-Guided Regional Anesthesia in COVID-19 and Future Pandemics: Infection Control. Current Opinion in Anaesthesiology. https://doi.org/10.1097/aco.0000000000001034

Narkhede, H., Vipulachandra, Y., Bhanap, P. L., Karale, A., & Chavan, R. B. (2023). Enhanced Recovery After Surgery Protocol Implementation on Elective Cesarean Delivery: A Cross-Sectional Study. Journal of South Asian Federation of Obstetrics and Gynaecology. https://doi.org/10.5005/jp-journals-10006-2152

Nimmo, S., Foo, I., & Paterson, H. (2017). Enhanced Recovery After Surgery: Pain Management. Journal of Surgical Oncology. https://doi.org/10.1002/jso.24814

Patel, K., & Zakowski, M. (2021). Enhanced Recovery After Cesarean: Current and Emerging Trends. Current Anesthesiology Reports. https://doi.org/10.1007/s40140-021-00442-9

Paton, F., Chambers, D., Wilson, P., Eastwood, A., Craig, D., Fox, D., Jayne, D., & McGinnes, E. (2014). Effectiveness and Implementation of Enhanced Recovery after Surgery Programmes: A Rapid Evidence Synthesis. BMJ Open. https://doi.org/10.1136/bmjopen-2014-005015

Peahl, A., Kountanis, J. A., & Smith, R. (2020). Postoperative Urinary Catheter Removal for Enhanced Recovery after Cesarean Protocols. American Journal of Obstetrics and Gynecology. https://doi.org/10.1016/j.ajog.2020.01.040

Poland, F., Spalding, N., Gregory, S. T., McCulloch, J., Sargen, K., & Vicary, P. (2017). Developing Patient Education to Enhance Recovery after Colorectal Surgery through Action Research: A Qualitative Study. BMJ Open. https://doi.org/10.1136/bmjopen-2016-013498

President of Republic Indonesia. (1999). Law Number 39 of 1999 concerning Human Rights. Retrieved from https://www.komnasham.go.id/files/1475231474-uu-nomor-39-tahun-1999-tentang-$H9FVDS.pdf

President of Republic Indonesia. (2009). Law No.44 of 2009 concerning Hospitals Article 32 which states 18 rights of patients and families. Retrieved from https://peraturan.bpk.go.id/Details/38789

Purnaningrum, T. S. (2023). ERACS Method as a Solution to Allow Hospital and Patient Financing. The Eastasouth Management and Business. https://doi.org/10.58812/esmb.v1i02.47

Rafiei, M., Naz, M. S. G., Akbari, M., Kiani, F., Sayehmiri, F., Sayehmiri, K., & Vafaee, R. (2018). Prevalence, Causes, and Complications of Cesarean Delivery in Iran: A Systematic Review and Meta-Analysis. International Journal of Reproductive Biomedicine (Ijrm). https://doi.org/10.29252/ijrm.16.4.221

Raharja, S., & Aini, Q. (2023). Comparison of Satisfaction Levels Between Post-Operative Sectio Caesaria Patients Followed by the Eracs Protocol TAP Block Analgesia Method and IV Patient Controlled Analgesia: A Literature Review. International Journal of Professional Business Review, 8(10), e03384–e03384. https://doi.org/10.26668/businessreview/2023.v8i10.3384

Rahayu, E. P., Nisa, F., Andriani, R. A. D., & Anggraini, F. D. (2023). The effectiveness of the ERACS (Enhanced Recovery after Caesarean Surgery) method on postoperative pain and the onset of colostrum excretion. Bali Medical Journal, 12(2), 1259–1263. https://doi.org/10.15562/bmj.v12i2.4324

Ruspita, I., Cholifah, S., & Rosyidah, R. (2023). Pain score and quality of post cesarean section recovery with ERACS method. JNKI (Jurnal Ners Dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery), 11(1), 1–10. http://dx.doi.org/10.21927/jnki.2023.11(1).1-10

Saboo, V., Biswas, D., Naz, A., Seal, S. L., & Ray, R. (2022). Local Infiltration of Bupivacaine Along the Incision Line Following Cesarean Section Reduces Postoperative Pain and Analgesia Requirement: A Double-Blinded Randomized Controlled Study. Journal of South Asian Federation of Obstetrics and Gynaecology. https://doi.org/10.5005/jp-journals-10006-2114

Saptono, P. B., & Ayudia, C. (2020). Fiscal Policy Perspective on Virtual Business during COVID-19 and Its Challenges: The Case of Indonesia. International Journal of Research and Studies Publishing. https://doi.org/10.29322/ijsrp.11.01.2021.p10987

Sardimon, S., Yusmalinda, Y., Jasa, Z. K., Rahmi, R., & Amin, F. B. (2022). Implementation of Enhanced Recovery after Caesarean Section (ERACS) in Elective Procedure : A Case Report. Solo Journal of Anesthesi Pain & Critical Care (Soja). https://doi.org/10.20961/soja.v2i2.58950

Sari, D., Widyastuti, Y., Farid, A. F., Dwiyana, M. A., & Amalia, A. (2023). Indonesia Translation and Cross-Cultural Validation of Pediatric Anesthesia Parent Satisfaction (PAPS) Questionnaire. Cureus. https://doi.org/10.7759/cureus.36053

Simanjuntak, G. W. S., Djatikusumo, A., Adisasmita, A. C., Nadjib, M., Mailangkay, H. H. B., & Hussain, N. (2018). Cost Analysis of Vitrectomy under Local Versus General Anesthesia in a Developing Country. Clinical Ophthalmology. https://doi.org/10.2147/opth.s179369

Sultan, P., George, R. B., Weiniger, C. F., Elâ€Boghdadly, K., Pandal, P., & Carvalho, B. (2022). Expert Consensus Regarding Core Outcomes for Enhanced Recovery after Cesarean Delivery Studies: A Delphi Study. Anesthesiology. https://doi.org/10.1097/aln.0000000000004263

Tepper, J. L., Harris, O. M., Triebwasser, J. E., Ewing, S. H., Mehta, A., Delaney, E. J., & Sehdev, H. M. (2021). Implementation of an Enhanced Recovery after Surgery Pathway to Reduce Inpatient Opioid Consumption After Cesarean Delivery. American Journal of Perinatology. https://doi.org/10.1055/s-0041-1732450

Uhud, A. N., Welantika, B., Rahmaningrat, S. S., & Aden, T. Y. (2023). Implementation of Early Recovery after Caesarean Surgery Protocol in Floating Hospital (Case Series). Asian Journal of Health Research, 2(2), 56–60. https://doi.org/10.55561/ajhr.v2i2.67

Warsono, H., Hanani, R., & Rahman, A. Z. (2023). Local Governments’ Financial Accountability Responses in Critical Time: Reflection from Intergovernmental Management in Indonesia during the Early Covid-19 Pandemic. Academic Journal of Interdisciplinary Studies. https://doi.org/10.36941/ajis-2023-0025

Wilson, R. D., Caughey, A. B., Wood, S. L., Macones, G. A., Wrench, I., Huang, J., Norman, M., Pettersson, K., Fawcett, W., Shalabi, M. M., Metcalfe, A., Gramlich, L., & Nelson, G. (2018). Guidelines for Antenatal and Preoperative Care In Cesarean Delivery: Enhanced Recovery After Surgery Society Recommendations (Part 1). American Journal of Obstetrics and Gynecology. https://doi.org/10.1016/j.ajog.2018.09.015

Zanolli, N., Fuller, M., Krishnamoorthy, V., Ohnuma, T., Raghunathan, K., & Habib, A. S. (2023). Opioid-Sparing Multimodal Analgesia Use After Cesarean Delivery Under General Anesthesia: A Retrospective Cohort Study in 729 US Hospitals. Anesthesia & Analgesia. https://doi.org/10.1213/ane.0000000000006428

Author Biographies

Iswahyudi, RSUD Bali Mandara

I Gusti Ayu Putri Kartika, Magister of Health Law Program, University Udayana, Post Graduate of Udayana University, Bali, Indonesia

Sagung Putri ME Purwani, Magister of Health Law Program, University Udayana, Post Graduate of Udayana University, Bali, Indonesia

Ida Bagus Gede Fajar Manuaba, Magister of Health Law Program, University Udayana, Post Graduate of Udayana University, Bali, Indonesia

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Copyright (c) 2023 iswahyudi ishwahyudi, I Gusti Ayu Putri Kartika, Sagung Putri ME Purwani, Ida Bagus Gede Fajar Manuaba

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