French ambulatory cesarean: Mother and newborn safety

Abstract

ObjectiveTo evaluate mother and newborn child safety after French ambulatory cesarean (FAUCS).MethodsProspective comparative cohort study in Tunisia (January–June 2018). Pregnant women indicated for primary or repeat cesarean at term underwent FAUCS or Misgav Ladach cesarean (MLC). Surgical outcomes, overall morbidity, and maternal autonomy during recovery were compared.ResultsAmong 112 deliveries, 60 were performed by FAUCS and 52 by MLC. FAUCS was feasible in all cases; surgeons achieved a completely extraperitoneal approach in 39 (65.0%) cases. The main difficulty experienced was fetal extraction. Longer operative procedures were recorded in the FAUCS group; however, women in the FAUCS group reported lower pain scores (3 [2–5] vs 4 [3.7–5], P<0.001) and were more likely to decline analgesics (10 [17.0%] vs 0 [0%], P<0.001). They experienced greater autonomy during recovery (median [interquartile range] time to standing, 2 [1.0–2.5] vs 12.8 [8.9–17.9] hours, P<0.001; time to full meal, 4 [3–6[ vs 26.5 [21–31] hours, P<0.001; effective time to hospital discharge, 1 [1, 2] vs 2 [2, 3] days; P<0.001).ConclusionImplementation of the FAUCS technique was safe and successful, and improved maternal condition after cesarean. These short‐term results need long‐term validation by randomized trials.

Lactococcus lactis cremoris intra-uterine infection: About an uncommon case report

“…Several authors [38] , [39] concluded that FAUCS represents a viable alternative to transperitoneal delivery in the presence of uterine infection, presumed or proven, as in the Azouzi et al [4] case and ours.…”

“…Twenty years later, Ami et al [38] described an innovative extraperitoneal approach to CS that can be used on an ambulatory mode under the name of the French ambulatory cesarean section ( FAUCS ). Being associated with less need for intravenous painkillers, shorter hospital stays and earlier returns to home, make this ambulatory technique an interesting alternative to the classic technique [38] , [39] .…”

Prevalence and Factors Associated with Postoperative Pain After Cesarean Section at a Comprehensive Specialized Hospital in Northwest Ethiopia: Prospective Observational Study

“…peritoneal French Ambulatory cesarean section technique was safe and can reduce postoperative pain while accelerating recovery, suggesting that this technique should be more widely used. 36,37 Our study has proved a significant association between previous CS and postoperative pain. When there was an experience of previous CS, suffering from moderate to severe pain increased by more than 2 folds and can be explained by increased risks of uterine dehiscence, bleeding, postoperative infection, adhesion, longer operating time, and hospital stay.…”

Postoperative Pain After Cesarean Section at University of Gondar Comprehensive Specialized Hospital, Gondar, Northwest Ethiopia, 2019; A Cross-Sectional Follow-up Study

“…33 Furthermore, recent studies have shown that extra- peritoneal French Ambulatory cesarean section technique was safe and can reduce postoperative pain while accelerating recovery, suggesting that this technique should be more widely used. 36,37 Our study has proved a significant association between previous CS and postoperative pain. When there was an experience of previous CS, suffering from moderate to severe pain increased by more than 2 folds and can be explained by increased risks of uterine dehiscence, bleeding, postoperative infection, adhesion, longer operating time, and hospital stay.…”