Implementation of an Enhanced Recovery after Cesarean Protocol at the Dalal Jamm National Hospital Center in Senegal

Introduction: Enhanced recovery after surgery (ERAS) protocols are effective in optimizing perioperative outcomes. This study evaluated the adoption of ERAS protocols among adult women undergoing cesarean section at a referral hospital in Senegal. Methods: This was a prospective, single-center interventional study conducted over four months at the Dalal Jamm National Hospital Center, from May 5th to September 4th. The primary objective was to reduce the length of hospital stays for patients, which averaged three days before the start of the study. Data were collected using questionnaires and analyzed using Excel 2019 and R version 4.5.0. Results: Among 102 patients (mean age: 29.4 years), 72.6% were able to leave the hospital within 48 hours. The mean pain score remained below 3 at rest; the TAP block significantly reduced pain during mobilization between 10 and 20 hours. Mobilization was possible within 6 hours in 90% of patients, and urinary catheter removal in 97.06%. Bowel function returned within 32 hours in 91.2% of patients. The complication rate was 6.8%, and 100% of mothers reported being satisfied. Conclusion: ERAS protocols following cesarean section have significantly reduced hospital stays and ensured effective pain management. Their implementation in a resource-limited setting has proven feasible, safe, and well-accepted by patients.