THE FAST-TRACK STRATEGY IN ELECTIVE CAESAREAN SECTION
Lecture
Published September 4, 2023
Keywords
caesarean section
abdominal delivery
postpartum period
abdominal delivery
postpartum period
How to Cite
Zarubina E. N., Klimovskaya E. V., Ponomareva S. V., Tudeneva Y. N., Teplyakova A. N., Yakovleva E. V. THE FAST-TRACK STRATEGY IN ELECTIVE CAESAREAN SECTION // Kremlin Medicine Journal. 2023. VOL. № 3. С. 82-84.
Abstract
Currently, the number of caesarean sections is increasing in the world, and there is no any trend to its decrease. In fact, almost every third delivery is abdominal, and there is not much chance to significantly decrease this rate. Any surgical intervention may have complications, and one of the basic tasks in surgery is their prevention. The fast-track strategy can significantly reduce the incidence of complications because of modern technologies used in this strategy. This technique consists of specific measures applied at all stages of perioperative preparation. That is why it contributes to successful surgical intervention, prevents surgical complications and accelerates recovery in the postoperative period. It also promotes timely lactation with breastfeeding and gives to a woman a feeling of maternal well-being, similar to normal spontaneous childbirthReferences
1. Caesarean section in modern obstetrics. Letter from the Ministry of Health of the Russian Federation no. 15-4/10/2-613905 dated 06/24/2011. In Russian.
2. Drensang L.T. et al. Cesarean delivery // Prim Care – 2012. – V. 39. – №. 1. – P. 145–166.
3. Zharkin N.A. et al. Cesarean section: medical, social, moral and ethical problems // Russian Bulletin of the obstetrician-gynecologist. – 2019. – V. 19. – No. 4. – P. 5–10. In Russian.
4. Serov V.N. et al. Cesarean section. Indications, methods of anesthesia, surgical technique, antibiotic prophylaxis, management of the postoperative period: clinical guidelines (protocol). – Moscow. – 2014. In Russian.
5. Shmakov R.G. et al. Singleton births, delivery by caesarean section: clinical guidelines. – 2021. In Russian.
6. Akintayo A.A. et al. Cesarean section on maternal request: the viewpoint of expectant women // Arch Gynecol obstet. – 2014. – V. 289. – Р. 781–785.
7. White P.F. et al. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care // Anesth Analg. – 2007. – V. 104. – №. 6. – Р. 1380–1396. doi: 10.1213/01.ane.0000263034.96885.e1.
8. Куликов А.В. и др. Анестезия в акушерстве. Проект клинических рекомендаций. Екатеринбург. – 2013. – С. 33. [Kulikov A.V. etc. Anesthesia in obstetrics. Draft clinical guidelines. Ekaterinburg. – 2013. – P. 33. In Russian.
9. Balushkina A.A. et al. Expediency of antibiotic prophylaxis during caesarean section in pregnant women with low infectious risk // Obstetrics and Gynecology. – 2012. – № 6. – P. 52–57. In Russian.
10. Baev O.R. et al. Modern techniques of caesarean section in evidence-based medicine (clinical lecture) // Obstetrics and Gynecology. – 2013. – №. 2. – P. 129–138. In Russian.
11. Ishchenko A.I. et al. Uterine scar failure after caesarean section. The choice of the method of surgical intervention // Issues of gynecology, obstetrics and perinatology. – 2018. – T. 17. – No. 4. – P. 51–59. In Russian.
12. Zhang J. et al. Contemporary cesarean delivery practice in the United States // Am. J. Obstet. Gynecol. – 2010. – V. 203. – №. 4. – Р. 326. e1–326.
13. Ananth C.V. et al. Trends in cesarean delivery at preterm gestation and association with perinatal mortality // Am. J. Obstet. Gynecol. – 2011. – V. 204. – №. 6. – Р. 505. e1-505. e8.
14. Lisitsyna O.I. и др. "Niches" of the scar on the uterus after caesarean section: diagnosis, treatment and outcomes // Obstetrics and Gynecology. – 2019. – T. 9. – S. 24–31. In Russian.
15. Radzinsky V.E. Radio wave and argon plasma in the practice of an obstetrician-gynecologist. – M.: StatusPraesens profmedia, 2016. – 214 p. In Russian.
2. Drensang L.T. et al. Cesarean delivery // Prim Care – 2012. – V. 39. – №. 1. – P. 145–166.
3. Zharkin N.A. et al. Cesarean section: medical, social, moral and ethical problems // Russian Bulletin of the obstetrician-gynecologist. – 2019. – V. 19. – No. 4. – P. 5–10. In Russian.
4. Serov V.N. et al. Cesarean section. Indications, methods of anesthesia, surgical technique, antibiotic prophylaxis, management of the postoperative period: clinical guidelines (protocol). – Moscow. – 2014. In Russian.
5. Shmakov R.G. et al. Singleton births, delivery by caesarean section: clinical guidelines. – 2021. In Russian.
6. Akintayo A.A. et al. Cesarean section on maternal request: the viewpoint of expectant women // Arch Gynecol obstet. – 2014. – V. 289. – Р. 781–785.
7. White P.F. et al. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care // Anesth Analg. – 2007. – V. 104. – №. 6. – Р. 1380–1396. doi: 10.1213/01.ane.0000263034.96885.e1.
8. Куликов А.В. и др. Анестезия в акушерстве. Проект клинических рекомендаций. Екатеринбург. – 2013. – С. 33. [Kulikov A.V. etc. Anesthesia in obstetrics. Draft clinical guidelines. Ekaterinburg. – 2013. – P. 33. In Russian.
9. Balushkina A.A. et al. Expediency of antibiotic prophylaxis during caesarean section in pregnant women with low infectious risk // Obstetrics and Gynecology. – 2012. – № 6. – P. 52–57. In Russian.
10. Baev O.R. et al. Modern techniques of caesarean section in evidence-based medicine (clinical lecture) // Obstetrics and Gynecology. – 2013. – №. 2. – P. 129–138. In Russian.
11. Ishchenko A.I. et al. Uterine scar failure after caesarean section. The choice of the method of surgical intervention // Issues of gynecology, obstetrics and perinatology. – 2018. – T. 17. – No. 4. – P. 51–59. In Russian.
12. Zhang J. et al. Contemporary cesarean delivery practice in the United States // Am. J. Obstet. Gynecol. – 2010. – V. 203. – №. 4. – Р. 326. e1–326.
13. Ananth C.V. et al. Trends in cesarean delivery at preterm gestation and association with perinatal mortality // Am. J. Obstet. Gynecol. – 2011. – V. 204. – №. 6. – Р. 505. e1-505. e8.
14. Lisitsyna O.I. и др. "Niches" of the scar on the uterus after caesarean section: diagnosis, treatment and outcomes // Obstetrics and Gynecology. – 2019. – T. 9. – S. 24–31. In Russian.
15. Radzinsky V.E. Radio wave and argon plasma in the practice of an obstetrician-gynecologist. – M.: StatusPraesens profmedia, 2016. – 214 p. In Russian.