Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort Study
BackgroundAlthough little data are available concerning safety for newborns, family-centered caesarean sections (FCS) are increasingly implemented. With FCS mothers can see the delivery of their baby, followed by direct skin-to-skin contact. We evaluated the safety for newborns born with FCS in the...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-02-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fped.2018.00020/full |
| _version_ | 1818997676770852864 |
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| author | Ilona C. Narayen Estelle E. M. Mulder Kim E. Boers Jeroen J. van Vonderen Vera E. R. A. Wolters Liv M. Freeman Arjan B. Te Pas |
| author_facet | Ilona C. Narayen Estelle E. M. Mulder Kim E. Boers Jeroen J. van Vonderen Vera E. R. A. Wolters Liv M. Freeman Arjan B. Te Pas |
| author_sort | Ilona C. Narayen |
| collection | DOAJ |
| description | BackgroundAlthough little data are available concerning safety for newborns, family-centered caesarean sections (FCS) are increasingly implemented. With FCS mothers can see the delivery of their baby, followed by direct skin-to-skin contact. We evaluated the safety for newborns born with FCS in the Leiden University Medical Center (LUMC), where FCS was implemented in June 2014 for singleton pregnancies with a gestational age (GA) ≥38 weeks and without increased risks for respiratory morbidity.MethodsThe incidence of respiratory pathology, unplanned admission, and hypothermia in infants born after FCS in LUMC were retrospectively reviewed and compared with a historical cohort of standard elective cesarean sections (CS).ResultsFrom June 2014 to November 2015, 92 FCS were performed and compared to 71 standard CS in 2013. Incidence of respiratory morbidity, hypothermia, temperatures at arrival at the department, GA, and birth weight were comparable (ns). Unplanned admission occurred more often after FCS when compared to standard CS (21 vs 7%; p = 0.03), probably due to peripheral oxygen saturation (SpO2) monitoring. There was no increase in respiratory pathology (8 vs 6%, ns). One-third of the babies were separated from their mother during or after FCS.ConclusionUnplanned neonatal admissions after elective CS increased after implementing FCS, without an increase in respiratory morbidity or hypothermia. SpO2 monitoring might have a contribution. Separation from the mother occurred often. |
| first_indexed | 2024-12-20T21:49:25Z |
| format | Article |
| id | doaj.art-e5653e519450476d99d1a0115eb41681 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-20T21:49:25Z |
| publishDate | 2018-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-e5653e519450476d99d1a0115eb416812022-12-21T19:25:36ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602018-02-01610.3389/fped.2018.00020328240Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort StudyIlona C. Narayen0Estelle E. M. Mulder1Kim E. Boers2Jeroen J. van Vonderen3Vera E. R. A. Wolters4Liv M. Freeman5Arjan B. Te Pas6Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, NetherlandsDepartment of Pediatrics, Isala Clinics, Zwolle, NetherlandsDepartment of Obstetrics, Bronovo Hospital, The Hague, NetherlandsDepartment of Pediatrics, Reinier de Graaf Gasthuis, Delft, NetherlandsDepartment of Obstetrics, Bronovo Hospital, The Hague, NetherlandsDepartment of Obstetrics, Leiden University Medical Center, Leiden, NetherlandsDivision of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, NetherlandsBackgroundAlthough little data are available concerning safety for newborns, family-centered caesarean sections (FCS) are increasingly implemented. With FCS mothers can see the delivery of their baby, followed by direct skin-to-skin contact. We evaluated the safety for newborns born with FCS in the Leiden University Medical Center (LUMC), where FCS was implemented in June 2014 for singleton pregnancies with a gestational age (GA) ≥38 weeks and without increased risks for respiratory morbidity.MethodsThe incidence of respiratory pathology, unplanned admission, and hypothermia in infants born after FCS in LUMC were retrospectively reviewed and compared with a historical cohort of standard elective cesarean sections (CS).ResultsFrom June 2014 to November 2015, 92 FCS were performed and compared to 71 standard CS in 2013. Incidence of respiratory morbidity, hypothermia, temperatures at arrival at the department, GA, and birth weight were comparable (ns). Unplanned admission occurred more often after FCS when compared to standard CS (21 vs 7%; p = 0.03), probably due to peripheral oxygen saturation (SpO2) monitoring. There was no increase in respiratory pathology (8 vs 6%, ns). One-third of the babies were separated from their mother during or after FCS.ConclusionUnplanned neonatal admissions after elective CS increased after implementing FCS, without an increase in respiratory morbidity or hypothermia. SpO2 monitoring might have a contribution. Separation from the mother occurred often.http://journal.frontiersin.org/article/10.3389/fped.2018.00020/fullneonatal outcomecaesarean sectionneonatenewbornfamily-centered practice |
| spellingShingle | Ilona C. Narayen Estelle E. M. Mulder Kim E. Boers Jeroen J. van Vonderen Vera E. R. A. Wolters Liv M. Freeman Arjan B. Te Pas Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort Study Frontiers in Pediatrics neonatal outcome caesarean section neonate newborn family-centered practice |
| title | Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort Study |
| title_full | Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort Study |
| title_fullStr | Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort Study |
| title_full_unstemmed | Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort Study |
| title_short | Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort Study |
| title_sort | neonatal safety of elective family centered caesarean sections a cohort study |
| topic | neonatal outcome caesarean section neonate newborn family-centered practice |
| url | http://journal.frontiersin.org/article/10.3389/fped.2018.00020/full |
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