Process measures at baseline (including introduction of an enhanced recovery programme) vs after introduction of a fast-track pathway
| Process measures | Baseline (2013–2014) | Fast-track pathway (2015–2016) |
| Mean length of stay (SD) | 3.25 (0.45) | 1.31 (0.80) |
| % ELCS day 1 discharge | 19.2 (172/896) | 38.0 (118/310) |
| Entered theatre before 14:00 % (n/N) | 100 (16/16) | 93.1 (94/101) |
| Mean satisfaction day 1 pain control* (SD) | 3.00 | 4.81 (0.49) |
| Catheter removed within 6 hours % (n/N) | 36.7 (11/30) | 64.9 (50/77) |
| Cannulae removal within 6 hours % (n/N) | 30.0 (9/30) | 62.3 (48/77) |
| Median time of catheter removal (hours) (IQR) | 22.5 (2.25) | 6 (1.2) |
| Median time of intravenous cannula removal (hours) (IQR) | 27 (5.5) | 6 (0.8) |
| Discharge medications prepared by 6 hours | 6.7 (1/15) | 78.2 (79/101) |
| Breastfeeding uptake rate at day 1 % (n/N) | 98.0 (878/896) | 97.0 (98/101) |
| Reviewed by community midwife within 48 hours | NA | 96.2 (50/52)‡ |
| Readmission rate | 1.1 (59/5500)† | 3.9 (3/77) |
| Breast feeding at 7 days | NA | 94.2 (49/52) |
*5-point Likert scale.
†Background rate for all deliveries per annum.
‡52 women contactable at 7 days.
ELCS, elective caesarean section; N, total number; NA, not available; n, number.