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We tested the theory that execution of a sophisticated recovery program for cesarean distribution is connected with a decrease in postoperative opioid consumption. METHODS We compared a retrospective cohort of women delivered by optional cesarean delivery (January 1, 2017 to June 30, 2018) to a prospective cohort confronted with the enhanced data recovery protocol (July 1, 2018 to December 31, 2018). The primary result ended up being inpatient maternal opioid use, measured as total oral morphine