Dr. Chapa’s Clinical Pearls. NEW ERAS-CS UPDATE: 2025!
May 3, 2025
Discover the latest in Enhanced Recovery After Surgery protocols for cesarean sections, set to debut April 2025. Key changes around vaginal prep and extended antibiotic use for patients with obesity are highlighted. This update promises to impact clinical practice and patient recovery significantly. The discussion also ties back to earlier guidelines on prophylactic antibiotics, illustrating how rapidly the field of medicine evolves.
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Query About Extended Antibiotics
- A colleague asked about 48-hour oral antibiotics after cesarean for obese patients.
- Dr. Chapa reviewed the data including a randomized trial by a friend validating infection reduction with this regimen.
Vaginal Prep Recommended
- Perform pre-operative vaginal prep with chlorhexidine or povidone iodine for intrapartum cesarean or ruptured membranes as recommended.
- Consider vaginal prep even for scheduled cesarean without ruptured membranes to reduce infection risk.
Standardize Vaginal Prep Practice
- Adopt vaginal prep for all cesarean sections to avoid confusion and comply with latest guidelines.
- This standardization supports infection prevention in this clean-contaminated surgery class.