Charité Caesarean Birth Improves Birth Experience in Planned and Unplanned Caesarean Sections While Maintaining Maternal and Neonatal Safety: A Prospective Cohort Study
Background: In this study, we aimed to assess the safety of a modified caesarean delivery (Charité caesarean birth) in an extended frame of indications, and to examine its impact on parents’ birth experience and long-term effects. Methods: This prospective cohort study was performed from January to...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2022-06-01
|
| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/49/6/10.31083/j.ceog4906124 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850234586792984576 |
|---|---|
| author | Laura Radtke Ricarda Dukatz Carolin Biele Alexander Paping Khaled Sameez Christine Klapp Wolfgang Henrich Anna M Dückelmann |
| author_facet | Laura Radtke Ricarda Dukatz Carolin Biele Alexander Paping Khaled Sameez Christine Klapp Wolfgang Henrich Anna M Dückelmann |
| author_sort | Laura Radtke |
| collection | DOAJ |
| description | Background: In this study, we aimed to assess the safety of a modified caesarean delivery (Charité caesarean birth) in an extended frame of indications, and to examine its impact on parents’ birth experience and long-term effects. Methods: This prospective cohort study was performed from January to June 2019. A standardized questionnaire was given to all women who gave birth as an inpatient delivery. Eight months after hospital discharge, all women who gave consent were sent a follow-up questionnaire including questions on current feelings, breast feeding, bonding, and support system, as well as a screening for postnatal depression. Indications for caesarean delivery included preterm birth, fetal malpresentation, fetal malformation, twin pregnancy, and maternal pre-existing conditions. Results: The study cohort included 110 women. The mode of delivery was spontaneous in 49%, per vacuum extraction in 15%, conventional caesarean section in 7%, and Charité caesarean birth in 29%. The groups with Charité versus conventional caesarean delivery did not significantly differ in neonatal admission rates, umbilical cord parameters, maternal blood loss, or duration of surgery. Compared to conventional caesarean delivery, women who underwent a Charité caesarean delivery were significantly more satisfied with their birth experience. At follow-up, the mode of delivery was not associated with significant differences in postnatal depression, breast feeding, or bonding parameters. Conclusions: Outside of emergency situations, Charité caesarean birth improves patients’ well-being, without increased maternal and neonatal morbidity. |
| format | Article |
| id | doaj-art-c45f55d5d1fb49d1baba3893b01059b9 |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-c45f55d5d1fb49d1baba3893b01059b92025-08-20T02:02:36ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-06-0149612410.31083/j.ceog4906124S0390-6663(22)01795-XCharité Caesarean Birth Improves Birth Experience in Planned and Unplanned Caesarean Sections While Maintaining Maternal and Neonatal Safety: A Prospective Cohort StudyLaura Radtke0Ricarda Dukatz1Carolin Biele2Alexander Paping3Khaled Sameez4Christine Klapp5Wolfgang Henrich6Anna M Dückelmann7Department of Obstetrics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Obstetrics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Obstetrics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Obstetrics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Obstetrics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Obstetrics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Obstetrics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Obstetrics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyBackground: In this study, we aimed to assess the safety of a modified caesarean delivery (Charité caesarean birth) in an extended frame of indications, and to examine its impact on parents’ birth experience and long-term effects. Methods: This prospective cohort study was performed from January to June 2019. A standardized questionnaire was given to all women who gave birth as an inpatient delivery. Eight months after hospital discharge, all women who gave consent were sent a follow-up questionnaire including questions on current feelings, breast feeding, bonding, and support system, as well as a screening for postnatal depression. Indications for caesarean delivery included preterm birth, fetal malpresentation, fetal malformation, twin pregnancy, and maternal pre-existing conditions. Results: The study cohort included 110 women. The mode of delivery was spontaneous in 49%, per vacuum extraction in 15%, conventional caesarean section in 7%, and Charité caesarean birth in 29%. The groups with Charité versus conventional caesarean delivery did not significantly differ in neonatal admission rates, umbilical cord parameters, maternal blood loss, or duration of surgery. Compared to conventional caesarean delivery, women who underwent a Charité caesarean delivery were significantly more satisfied with their birth experience. At follow-up, the mode of delivery was not associated with significant differences in postnatal depression, breast feeding, or bonding parameters. Conclusions: Outside of emergency situations, Charité caesarean birth improves patients’ well-being, without increased maternal and neonatal morbidity.https://www.imrpress.com/journal/CEOG/49/6/10.31083/j.ceog4906124birth experiencebreast feedingcaesarean sectionearly-skin-to-skin contactbondingfollow-up |
| spellingShingle | Laura Radtke Ricarda Dukatz Carolin Biele Alexander Paping Khaled Sameez Christine Klapp Wolfgang Henrich Anna M Dückelmann Charité Caesarean Birth Improves Birth Experience in Planned and Unplanned Caesarean Sections While Maintaining Maternal and Neonatal Safety: A Prospective Cohort Study Clinical and Experimental Obstetrics & Gynecology birth experience breast feeding caesarean section early-skin-to-skin contact bonding follow-up |
| title | Charité Caesarean Birth Improves Birth Experience in Planned and Unplanned Caesarean Sections While Maintaining Maternal and Neonatal Safety: A Prospective Cohort Study |
| title_full | Charité Caesarean Birth Improves Birth Experience in Planned and Unplanned Caesarean Sections While Maintaining Maternal and Neonatal Safety: A Prospective Cohort Study |
| title_fullStr | Charité Caesarean Birth Improves Birth Experience in Planned and Unplanned Caesarean Sections While Maintaining Maternal and Neonatal Safety: A Prospective Cohort Study |
| title_full_unstemmed | Charité Caesarean Birth Improves Birth Experience in Planned and Unplanned Caesarean Sections While Maintaining Maternal and Neonatal Safety: A Prospective Cohort Study |
| title_short | Charité Caesarean Birth Improves Birth Experience in Planned and Unplanned Caesarean Sections While Maintaining Maternal and Neonatal Safety: A Prospective Cohort Study |
| title_sort | charite caesarean birth improves birth experience in planned and unplanned caesarean sections while maintaining maternal and neonatal safety a prospective cohort study |
| topic | birth experience breast feeding caesarean section early-skin-to-skin contact bonding follow-up |
| url | https://www.imrpress.com/journal/CEOG/49/6/10.31083/j.ceog4906124 |
| work_keys_str_mv | AT lauraradtke charitecaesareanbirthimprovesbirthexperienceinplannedandunplannedcaesareansectionswhilemaintainingmaternalandneonatalsafetyaprospectivecohortstudy AT ricardadukatz charitecaesareanbirthimprovesbirthexperienceinplannedandunplannedcaesareansectionswhilemaintainingmaternalandneonatalsafetyaprospectivecohortstudy AT carolinbiele charitecaesareanbirthimprovesbirthexperienceinplannedandunplannedcaesareansectionswhilemaintainingmaternalandneonatalsafetyaprospectivecohortstudy AT alexanderpaping charitecaesareanbirthimprovesbirthexperienceinplannedandunplannedcaesareansectionswhilemaintainingmaternalandneonatalsafetyaprospectivecohortstudy AT khaledsameez charitecaesareanbirthimprovesbirthexperienceinplannedandunplannedcaesareansectionswhilemaintainingmaternalandneonatalsafetyaprospectivecohortstudy AT christineklapp charitecaesareanbirthimprovesbirthexperienceinplannedandunplannedcaesareansectionswhilemaintainingmaternalandneonatalsafetyaprospectivecohortstudy AT wolfganghenrich charitecaesareanbirthimprovesbirthexperienceinplannedandunplannedcaesareansectionswhilemaintainingmaternalandneonatalsafetyaprospectivecohortstudy AT annamduckelmann charitecaesareanbirthimprovesbirthexperienceinplannedandunplannedcaesareansectionswhilemaintainingmaternalandneonatalsafetyaprospectivecohortstudy |