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CTRI Number  CTRI/2023/02/049782 [Registered on: 16/02/2023] Trial Registered Prospectively
Last Modified On: 03/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparision between ERAC (Enhanced Recovery after ceaserean section)Criteria and Traditional method of Recovery 
Scientific Title of Study   Enhanced Recovery after C-Section versus Traditional Protocol in Elective C Section 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aditya Singh 
Designation  Resident Doctor 
Affiliation  PDU MEDICAL COLLEGE RAJKOT  
Address  Department of Anesthesiology,3rd floor OPD Building,PDU Medical College, Rajkot, Gujarat
Department of Anesthesiology,3rd floor OPD Building,PDU Medical College, Rajkot, Gujarat
Rajkot
GUJARAT
360001
India 
Phone  09755388711  
Fax  02812458340  
Email  timmydbz@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Khyati Jethva 
Designation  Assistant Professor  
Affiliation  PDU MEDICAL COLLEGE RAJKOT  
Address  Department of Anesthesiology,3rd floor OPD Building,PDU Medical College, Rajkot, Gujarat
Department of Anesthesiology,3rd floor OPD Building,PDU Medical College, Rajkot, Gujarat
Rajkot
GUJARAT
360001
India 
Phone  9913732613  
Fax  02812458340  
Email  khyatijethva13@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Aditya Singh 
Designation  Resident Doctor 
Affiliation  PDU MEDICAL COLLEGE RAJKOT  
Address  Department of Anesthesiology,3rd floor OPD Building,PDU Medical College, Rajkot, Gujarat
Department of Anesthesiology,3rd floor OPD Building,PDU Medical College, Rajkot, Gujarat
Rajkot
GUJARAT
360001
India 
Phone  09755388711  
Fax  02812458340  
Email  timmydbz@gmail.com  
 
Source of Monetary or Material Support  
Department of Anesthesiology, PDU Medical College,Civil Hospital Campus,Rajkot, Gujarat  
 
Primary Sponsor  
Name  Aditya Singh  
Address  Department of Anesthesiology,PDU MEDICAL COLLEGE RAJKOT GUJARAT  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Aditya Singh   PDU MEDICAL COLLEGE AND CIVIL HOSPITAL   3rd floor, OPD building, Department of Anesthesiology
Rajkot
GUJARAT 
9755388711
02812458340
timmydbz@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethical Committee,PDU MEDICAL COLLEGE RAJKOT GUJARAT INDIA   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Pregnant Females 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Enhanced recovery after C Section in Elective C section  In this trial comparision of efficacy of Traditional method of recovery after Elective C section 
Intervention  ENHANCED RECOVERY AFTER C-SECTION in Elective C-Section  In this trial there is a comparison of the efficacy of implementation of predefined ERAC criteria in patients of elective C Section. 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  25 to 40 years women having gestation age more than 38 weeks posted for elective caesearean section will be included in the study. 
 
ExclusionCriteria 
Details  Prior medical illness like anemia, cardiac ,renal , thyroid diseases, hypertensive disorder of pregnancy, gestational diabetes, intra and post postpartum heamorrage ,bladder injury and bowel injury will be excluded from the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Our primary outcome is to asses Patient satisfaction and
Readiness of discharge in postoperative period 
Our primary outcome is to assess
1) The readiness of discharge in 3rd,5th and 7th postoperative day
2) Patient satisfaction upto 24hours postoperative in postoperative period 
 
Secondary Outcome  
Outcome  TimePoints 
Our secondary outcome is to asses 1)Post operative pain assessment
2)Requirement of post operative analgesia
3)Early oral intake and Mobilization
4)Postoperative nausea and vomiting
5)Optimization of intraoperative vasopressors and uterotonics
 
Our secondary outcome is
1)To asses and note the time of postoperative Pain in 2hour 4hour 6 hourafter operative
2)Nausea and vomiting in 2 hour 4 hour and 6 hour after operation
3) Mobilization 4hour 8hour 12 hour and 24 hour after operation
3)oral intake after 4hour6hour and 8hour after operation
 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/02/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
• Enhanced recovery after cesarean provides an evidenced based system to improve maternal based outcomes ,fuctional recovery,maternal infant bonding,and patient experience.ERAC involves multidisciplinary team efforts of anesthesiologists,obstetrician,nursing staff,hospital and patient.
• ERAC is best conceptualized as a continuum of care ,from preconception outreach,antepartum optimization,intrapartum care, which includes the anesthetic management and concluding with postpartum inpatient care and outpatient support .
• Enhanced recovery was first described by in 1997 by wilmore and kehlet.The concept was first introduced in colorectal surgeries and now practiced across all specialities
• There is wide variation in the components of enhanced recovery after surgery among different specialities but the principle remain same. The various components of Enhanced recovery includes provision of preadmission, information to expectant mothers ,Good perioperative nutrition and hydration ,minimally invasive surgical technique, efforts to maintain normothermia ,prevention of postoperative nausea and voimiting, effective peri- operative pain relief, early post operative oral intake, removal of urinary cathter,readiness to discharge and postoperative mobilization.

 
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