Risks and benefits of the skin-to-skin cesarean section – a retrospective cohort study

Posthuma, Selina; Korteweg, Fleurisca J.; Ploeg, J. Marinus van der; Boer, H. de; Buiter, Hannah D; Ham, David P. van der

doi:10.3109/14767058.2016.1163683

Cited by 25 publications

(39 citation statements)

References 15 publications

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“…Patient satisfaction of clinical services in pre-, peri-, and postoperative periods is a multidimensional subjective concept (6). Based on reports from the United Kingdom, 75% of CS deliveries were performed under general anesthesia 25 years ago, which has decreased to 16% today (7).…”

Section: Introductionmentioning

confidence: 99%

Maternal Satisfaction of Spinal Anesthesia for Elective Cesarean Section in an Academic Hospital

Sadeghi¹,

Bayat²,

Azimaraghi³

et al. 2017

Ann Anesth Crit Care

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Background: Currently, spinal anesthesia is an acceptable method for cesarean section (CS) throughout the world, since general anesthesia is associated with higher maternal morbidity and mortality rates. The current study was performed to survey different factors for maternal satisfaction of spinal anesthesia. Methods: This cross sectional study was performed on women who were candidates for elective CS at Dr. Shariati hospital. Informed consents were obtained from all the patients, and the risks and side effects of both spinal and general anesthesia were explained preoperatively. The mothers were free to choose the anesthetic technique. One day after the operation, all mothers were examined with respect to the variables.

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Section: Introductionmentioning

confidence: 99%

Maternal Satisfaction of Spinal Anesthesia for Elective Cesarean Section in an Academic Hospital

Sadeghi¹,

Bayat²,

Azimaraghi³

et al. 2017

Ann Anesth Crit Care

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“…Different studies have, however, demonstrated the safety of skin-to-skin contact at the time of cesarean section: the procedure does not seem to increase the risk of neonatal hypothermia [19], maternal surgical infections, or maternal bleeding [20]. However, the duration of the surgery was prolonged by 4 min in a group of women having skin-to-skin contact during cesarean section compared to women not having early skin-to-skin contact [20].…”

Section: Parental Experiences Around C-sectionmentioning

confidence: 94%

Exploring Parental Expectations and Experiences Around “Gentle” and “Standard” Caesarean Section

Onsea

Bijnens

Damme

et al. 2017

Gynecol Obstet Invest

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Background/Aims: “Gentle” or “natural” cesarean sections are implemented to improve parental satisfaction. The objective of this study was to investigate whether there is a need for adopting such a gentle approach. Methods: We recruited those with low-risk pregnancies scheduled for elective cesarean delivery at term. Three questionnaires were administered to both partners: prior to delivery, 2-5 days after delivery, and 6 weeks postpartum. Questionnaires assessed the couple's expectations, fears, and satisfaction prior to and after cesarean section. Additionally, participants attended 2 structured interviews: one prior to delivery and one 6 weeks after delivery. Results: Fifteen couples underwent a “standard” cesarean section (group 1) and 6 underwent a “gentle” section (group 2). Overall, parental satisfaction with cesarean section was high. However, women in the standard group felt less involved in childbirth and both groups still preferred vaginal delivery in light of eventual future pregnancies. Participants in group 2 showed less fear of childbirth after delivery than prior to delivery. There were no differences in total questionnaire scores between groups or between mothers and partners. Conclusion: This study shows that there is room for improvement in satisfaction levels around cesarean section, even though satisfaction is generally high. A “gentle” cesarean section may help to achieve this.

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“…Family-centered cesarean birth, or skin-to-skin cesarean birth, is a new option that involves immediate skin-to-skin contact between the newborn and mother in surgery. However, this new cesarean protocol has not been widely adopted in hospitals due to safety concerns around the mother’s ability to hold her newborn while on an operating room table and concerns related to postpartum hemorrhage and infection (Posthuma et al, 2016). In a recent study comparing conventional cesarean birth to skin-to-skin cesarean birth, investigators did not see increases in either of these adverse outcomes, but did find that skin-to-skin treatment was associated with a decrease in both neonatal admission to the neonatal nursery and neonatal work-ups for infection (Posthuma et al, 2016).…”

Section: Implications Of Route Of Birthmentioning

confidence: 99%

The Maternal Infant Microbiome

Dunn

Jordan

Baker

et al. 2017

McN: The American Journal of Maternal/Child Nursing

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The human microbiome plays a role in maintaining health, but is also thought to attenuate and/or exacerbate risk factors for adverse maternal-child health outcomes. The development of the microbiome begins in utero, however factors related to the labor and birth environment have been shown to influence the initial colonization process of the newborn microbiome. This “seeding” or transfer of microbes from the mother to newborn may serve as an early inoculation process with implications for the long-term health outcomes of newborns. Studies have shown that there are distinct differences in the microbiome profiles of newborns born vaginally compared to those born by cesarean. Antibiotic exposure has been shown to alter the microbial profiles of women and may influence the gut microbial profiles of their newborns. Considering that the first major microbial colonization occurs at birth, it is essential that labor and birth nurses be aware of factors that may alter the composition of the microbiome during the labor and birth process. The implications of various activities and factors unique to the labor and birth environment that may influence the microbiome of women and newborns during the labor and birth process (e.g. route of birth, antibiotic use, nursing procedures) are presented with a focus on the role of labor nurses and the potential influence of nursing activities on this process.

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Risks and benefits of the skin-to-skin cesarean section – a retrospective cohort study

Abstract: Adverse maternal and neonatal outcomes were not increased after skin-to-skin cesarean compared to conventional cesarean delivery.

Cited by 25 publications

References 15 publications

Maternal Satisfaction of Spinal Anesthesia for Elective Cesarean Section in an Academic Hospital

Maternal Satisfaction of Spinal Anesthesia for Elective Cesarean Section in an Academic Hospital

Exploring Parental Expectations and Experiences Around “Gentle” and “Standard” Caesarean Section

The Maternal Infant Microbiome

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