Humanizing Birth in a Third-Level Hospital: Revealing the Benefits of Natural Cesarean Sections
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Other documents of the author: Recacha-Ponce, Paula; Baliño, Pablo; García-Rayo-Reolid, Laura; Dominguez-Gomez, Violeta; Suárez-Alcázar, María Pilar; Folch Ayora, Ana; Salas-Medina, Pablo; Collado-Boira, Eladio
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Title
Humanizing Birth in a Third-Level Hospital: Revealing the Benefits of Natural Cesarean SectionsAuthor (s)
Date
2024-03Publisher
MDPIBibliographic citation
Recacha-Ponce, P.; Baliño Remiro, P.; García-Rayo-Reolid, L.; Dominguez-Gomez, V.; SuárezAlcázar, M.P.; Folch-Ayora, A.; Salas-Medina, P.; Collado-Boira, E.J. Humanizing Birth in a Third-Level Hospital: Revealing the Benefits of Natural Cesarean Sections. Life 2024, 14, 397. https://doi.org/10.3390/ life14030397Type
info:eu-repo/semantics/articlePublisher version
https://www.mdpi.com/2075-1729/14/3/397Version
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Abstract
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 ... [+]
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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