Implementing Family-Centered Cesarean Birth

J Midwifery Womens Health. 2015 Nov-Dec;60(6):682-90. doi: 10.1111/jmwh.12400. Epub 2015 Nov 30.

Abstract

Cesarean birth is recognized as a physical and psychological stressor for many women. Maternity practices during cesarean birth should meet women's needs, while maintaining safety, to optimize the experience. Family-centered cesarean birth is a package of interventions that encourages a woman to participate in choosing interventions that would be helpful when undergoing a planned or unplanned cesarean birth. Included in family-centered cesarean birth is implementation of skin-to-skin care in the operating room for neonates who appear term and healthy. The process of attempting to implement family-centered cesarean birth at one academic center is presented, including steps for implementation, benefits, challenges, and areas for continued improvement and research. This article is part of a special series of articles that address midwifery innovations in clinical practice, education, interprofessional collaboration, health policy, and global health.

Keywords: birth, breastfeeding; cesarean birth, patient-centered care, skin-to-skin care, umbilical cord clamping.

MeSH terms

  • Cesarean Section*
  • Family
  • Female
  • Humans
  • Infant, Newborn
  • Kangaroo-Mother Care Method*
  • Midwifery*
  • Patient Participation*
  • Patient-Centered Care*
  • Pregnancy
  • Skin