Abstract

Introduction: The benefits of enhanced recovery for obstetric surgery (EROS) are well documented. In our unit, EROS for elective caesarean delivery (eCD) was established in 2017, improving patient satisfaction whilst decreasing length of stay.1 Since then, we have faced multiple challenges including staffing changes or absences of key members of the multidisciplinary team (MDT), diamorphine supply issues, the implementation of electronic medical records and most recently the Covid-19 pandemic. These have led to changes in our practice such as loss of the paper EROS patient companion and routine use of intrathecal morphine starting in 2019.

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