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Novel mobility assessment tool for use in enhanced recovery for caesarean sections

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Novel mobility assessment tool for use in enhanced recovery for caesarean sections

B. Parsons, R. West, J. Mawby, R. Yau

Department of Anaesthesia, Barnet Hospital, Royal Free London NHS Foundation Trust, London, UK

Introduction

• Early mobilisation is recommended as part of prophylaxis against venous thromboembolism for mothers undergoing caesarean sections and is an important element in enhanced recovery programmes (ERP).
 
• Prior to the introduction of an ERP for elective caesarean sections in our department, a mobilisation audit identified a significant delay between the median time to reported return of motor function after neuraxial block, and to the median time to ambulation after anaesthesia.
 
• Following a literature search, we found no published guidelines on assessing the safety to mobilise after neuraxial block  for caesarean section.
 
• We developed a simple mobilisation assessment to assess the safety of mothers to mobilise earlier after their operation.
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