Endah Endah
Poltekkes Kemenkes Jakarta III

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Systematic Review: The Effect of the Enhanced Recovery After Surgery (ERAS) Protocol on Recovery, Pain Management, and Length of Hospital Stay in Cesarean Section Patients Sri Mulyati; Aticeh Aticeh; Raudhatul Munawarah; Nur Fitri Ayu Pertiwi; Endah Endah
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.1945

Abstract

Cesarean section surgery often causes pain and prolongs hospital stays. The Enhanced Recovery After Surgery (ERAS) protocol offers a fast and comprehensive recovery solution. This systematic review aims to evaluate the effect of the ERAS protocol on recovery, pain management, and length of hospital stay in cesarean section patients. Researchers selected the literature using the PRISMA guidelines. The selection stages include identification, screening, eligibility assessment, and inclusion. literature articles retrieved from PubMed, Google Scholar, ScienceDirect, and the Cochrane Library. The researchers used specific keywords such as ‘ERAS protocol,’ ‘cesarean section’, ‘postoperative recovery’, ‘pain management’, and ‘length of stay’ to limit the search to articles published in the past five years (2021–2026). This process yielded five relevant articles for analysis. The review results show the ERAS protocol effectively accelerates physiological function recovery and physical mobility. ERAS also significantly reduces pain scores. Furthermore, patients experience a shorter length of hospital stay. This protocol demonstrates high safety and efficiency profiles. Healthcare facilities must implement ERAS as a standard of maternal nursing care to improve the quality of service for cesarean section patients.
Literature Review of Factors Affecting Premature Rupture of Membranes Aticeh Aticeh; Endah Endah; Debbiyantina Debbiyantina; Rosita Rosita
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 2 No. 4 (2025): October : Green Health: International Journal of Health Sciences, Nursing and N
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v2i4.246

Abstract

Prelabor rupture of membranes (PROM) remains one of the most frequently encountered obstetric complications and continues to contribute substantially to maternal and neonatal morbidity and mortality. Numerous factors have been associated with PROM; however, the available evidence presents considerable variation, highlighting the need to re-evaluate these determinants using recent empirical findings. This review aims to identify and synthesize the principal factors influencing PROM based on ten studies published within the last five years. A systematic search was conducted across PubMed, Scopus, Web of Science, and Google Scholar using predefined keywords, followed by screening through established eligibility criteria. Relevant data from each study including study design, geographical setting, assessed risk factors, and statistical outcomes such as odds ratios or relative risks  were extracted and compared. The review indicates that reproductive and urinary tract infections, inadequate nutritional status, high-risk obstetric history, and short interpregnancy intervals consistently emerge as major determinants. Social factors and the quality of antenatal services were also shown to heighten the likelihood of PROM. Overall, the findings emphasize that PROM arises from a combination of medical and non-medical influences, reinforcing the need for preventive strategies that adopt a comprehensive and integrated approach.