Cesárea humanizada

España, Esther Tessier; Gutiérrez, Isabel; Burguillo, Antonio García; García, José Manuel Hernández; Cotelo, Rocío Vellido; Lázaro, Cristina de la Hera; Oliver-Pérez, Reyes

doi:10.1016/j.pog.2012.04.001

Cited by 5 publications

(6 citation statements)

References 8 publications

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“…Although postcesarean StS contact and having the companion in the operating room entail changes in the work routine of the health care team, professionals agreed to this because of the health benefits conferred and because mothers expressed their gratification especially if they had had a prior cesarean without StS contact. 20…”

Section: Resultsmentioning

confidence: 99%

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Postcesarean Section Skin-to-Skin Contact of Mother and Child

et al. 2014

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The first hour postpartum is critical for long-term, healthy development. At 12 de Octubre Hospital, Madrid, Spain, we developed and implemented a multidisciplinary strategy based on a consensual, participatory protocol for all health care professionals involved in cesarean deliveries. Our aims were 2-fold: the initiation of skin-to-skin (StS) contact with the newborn immediately after birth, regardless of the feeding method chosen, and the recognition of the importance of a companion present for support during the cesarean section (father or other designated by the mother). The objective of this article is to describe a policy developed to ensure timely postcesarean StS contact. Our protocol for neonatal StS contact with the mother is based on reported benefits found in literature, the World Health Organization's international recommendations, and deep respect for a process that is both natural and instinctive. We call it "humanizing the cesarean."

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Section: Resultsmentioning

confidence: 99%

“…In the case of scheduled cesareans with accompaniment, this figure rose to 91.4%, and 98% of accompanied women stated that having the companion present helped them feel more secure and confident. 20…”

Section: Introductionmentioning

confidence: 99%

Postcesarean Section Skin-to-Skin Contact of Mother and Child

et al. 2014

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“…In some PAS reference centers, the frequency of neuraxial anesthesia can be as high as 95%, 14 which allows the mother to be alert, as she anxiously awaits the resolution of a serious disease, and the birth of her child. Although greater maternal satisfaction with the experience of childbirth has been reported when a companion is allowed during the cesarean section, 15 and although benefits are reported in terms of breastfeeding, neonatal temperature regulation, and neonatal cutaneous bacterial colonization when maternal-neonatal skin contact is made within the first hour of life, 5 8 these observations are often ignored during “complicated” cesarean sections.…”

Section: Discussionmentioning

confidence: 99%

Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment?

Nieto-Calvache

Hidalgo

Maya

et al. 2022

Rev Bras Ginecol Obstet

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Objective Placenta accreta spectrum (PAS) is a cause of massive obstetric hemorrhage and maternal mortality. The application of family-centered delivery techniques (FCDTs) during surgery to treat this disease is infrequent. We evaluate the implementation of FCDTs during PAS surgeries. Methods This was a prospective, descriptive study that included PAS patients undergoing surgical management over a 12-month period. The patients were divided according to whether FCDTs were applied (group 1) or not (group 2), and the clinical outcomes were measured. In addition, hospital anesthesiologists were surveyed to evaluate their opinions regarding the implementation of FCDTs during the surgical management of PAS. Results Thirteen patients with PAS were included. The implementation of FCDTs during birth was possible in 53.8% of the patients. The presence of a companion during surgery and skin-to-skin contact did not hinder interdisciplinary management in any case. Conclusion Implementation of FCDTs during PAS care is possible in selected patients at centers with experience in managing this disease.

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“…A questionnaire developed by the research team was used to collect demographic, obstetric, and neonatal data. A validated questionnaire was used to assess satisfaction, anxiety, and pain levels [ 17 ]. The questionnaire was administered by a maternity nurse on the third postpartum day.…”

Section: Methodsmentioning

confidence: 99%

“…The current literature shows that this type of cesarean section has benefits, such as an increase in family satisfaction after the procedure [ 17 ]. However, institutions seem reluctant to implement them in their obstetric services, so it is fair to equate vaginal delivery with a cesarean section in terms of maternal and neonatal outcomes.…”

Section: Introductionmentioning

confidence: 99%

Humanizing Birth in a Third-Level Hospital: Revealing the Benefits of Natural Cesarean Sections

Recacha-Ponce,

Baliño Remiro,

García-Rayo-Reolid

et al. 2024

Life

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Background and Aims: Efforts to humanize childbirth focus on promoting skin-to-skin contact, labor accompaniment, and breastfeeding. Despite these advancements, cesarean sections often lack a consideration of immediate mother–child contact, early breastfeeding initiation, and follow-up. This underscores the need for a ‘natural’ approach to cesarean sections, aiming to ‘humanize’ the procedure and emulate some aspects of vaginal birth. Materials and Methods: An observational longitudinal cohort study was conducted, involving pregnant women scheduled for a cesarean section. Two comparison groups were established: one undergoing conventional cesarean sections and the other receiving a humanization intervention. While in “conventional cesarean sections,” newborns are separated from mothers at birth, preventing actions such as early breastfeeding or skin-to-skin contact, and maternal companionship is lacking in the operating room, the intervention of cesarean section humanization was based on avoiding the separation of the mother and newborn, promoting skin-to-skin contact, early breastfeeding, and maternal accompaniment during surgery. Descriptive data on maternal and neonatal variables, including breastfeeding initiation, maintenance, and baby weight trends, were collected. Additionally, a validated survey assessed the pain, satisfaction, and anxiety among the 73 participating women. Results: Women undergoing natural cesarean sections reported higher satisfaction, lower anxiety, and reduced postoperative pain, requiring less analgesia. Although their exclusive breastfeeding rates at 10 days postpartum showed no significant difference, statistically significant differences favored natural cesarean sections at 3 months (67.5% vs. 25%) and 6 months (50% vs. 4.5%). Neonates in the natural cesarean group exhibited greater weight gain at 10 days postpartum compared to those delivered conventionally (+49.90 g vs. −39.52 g). No significant differences in blood counts were observed between the groups. Conclusions: This study underscores the manifold advantages offered by the natural cesarean procedure compared to the conventional cesarean approach. Notably, a NC demonstrates superior outcomes in terms of heightened maternal satisfaction with the obstetric process, the enhanced sustainability of exclusive breastfeeding, and augmented neonatal weight gain.

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Cesárea humanizada

Cited by 5 publications

References 8 publications

Postcesarean Section Skin-to-Skin Contact of Mother and Child

Postcesarean Section Skin-to-Skin Contact of Mother and Child

Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment?

Humanizing Birth in a Third-Level Hospital: Revealing the Benefits of Natural Cesarean Sections

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