The Charité cesarean birth: a family orientated approach of cesarean section

  title={The Charit{\'e} cesarean birth: a family orientated approach of cesarean section},
  author={Robert Armbrust and Larry Hinkson and Katharina von Weizs{\"a}cker and Wolfgang Henrich},
  journal={The Journal of Maternal-Fetal \& Neonatal Medicine},
  pages={163 - 168}
OBJECTIVE To evaluate the safety and patients delivery experience of the Charité Cesarean Birth (CCB), a modified cesarean section (CS. [...] Key Method Trial was conducted at the Charité University Hospital Berlin as a prospectively randomized controlled trial. Parameters of perinatal outcome for both mother and infant were assessed using modified Likert-Scales and a standardized questionnaire. Primary outcome measures were birth experience and satisfaction for parents.Expand

Paper Mentions

Interventional Clinical Trial
The purpose of this study is to determine if patient birthing experiences differ between the family-centered and traditional cesarean methods. We hypothesize that the family-centered… Expand
ConditionsEarlier Family Bond Initiation, Maternal and Neonatal Outcomes, Patient Satisfaction
Doulas in the Operating Room: An Innovative Approach to Supporting Skin‐to‐Skin Care During Cesarean Birth
It is demonstrated that volunteer doulas can be prepared to provide supportive care to clients during and immediately after cesarean birth and are perceived as an important member of the maternity health care team by clients and nurses. Expand
Exploring Parental Expectations and Experiences Around “Gentle” and “Standard” Caesarean Section
Overall, parental satisfaction with cesarean section was high, however, women in the standard group felt less involved in childbirth and both groups still preferred vaginal delivery in light of eventual future pregnancies. Expand
Physician and Nurse Perceptions of Gentle Cesarean Birth
How care providers' professional role and characteristics may affect perception about gentle cesarean birth techniques and inform specific concerns about protocol changes is described to describe how patient safety and logistical challenges versus perceived benefits of the techniques are informed. Expand
Volunteer doulas' experiences supporting cesarean births: A qualitative analysis for preliminary program evaluation.
Doulas volunteering within this program highly valued their perceived role in the care of women experiencing cesarean birth, including reports of increasing evidence-based practices such as SSC and early breastfeeding initiation in the OR. Expand
Unplanned Cesarean Birth: Can the Quality of Consent Affect Birth Experiences?
Both groups exhibited significantly higher levels of birth satisfaction than present in prior research, which suggests that educating residents to engage patients in a dialogue during informed consent counseling is more important than a specific script. Expand
Gentle Cesarean Birth.
  • Kirsten Wisner
  • Medicine
  • MCN. The American journal of maternal child nursing
  • 2016
It seems reasonable for perinatal nurses to consider what elements of gentle cesarean may be feasible in their setting and consider implementation of this patient-centered approach to cESarean birth. Expand
Perceptions of mothers who experienced early skin-to-skin contact after repeat cesarean section in Tanzania: Pilot implementation
The developed early SSC after CS protocol facilitated understanding of the perceptions of SSC before and after cesarean section and may be a promising program for implementing early S SCS after CS. Expand
Initiative to Increase Skin-to-Skin Contact in the Operating Room After Cesarean.
SSC in the OR increased after a 4-month initiative to increase SSC through nurse education, included SSC as part of the interdisciplinary team time-out (TTO) before procedures, and developed a new practice guideline to initiate SSC for at least 15 minutes within the first hour of life in the operating room (OR) after cesarean birth. Expand
Committee Opinion No. 687: Approaches to Limit Intervention During Labor and Birth.
  • A. Bryant
  • Medicine
  • Obstetrics and gynecology
  • 2017
Data suggest that in women with normally progressing labor and no evidence of fetal compromise, routine amniotomy is not necessary and doctors should consider using low-interventional approaches for the intrapartum management of low-risk women in spontaneous labor. Expand
Humanization of Cesarean Section
In the early 1980s, Professor Romano Forleo, the Head of the Department of Obstetrics at Fatebenefratelli Hospital in Rome, was one of the first in Europe to introduce in a Department of ObstetricsExpand


The natural caesarean: a woman-centred technique
A ‘natural’ approach that mimics the situation at vaginal birth is described, allowing the parents to watch the birth of their child as active participants and the baby to be transferred directly onto the mother’s chest for early skin‐to‐skin contact. Expand
Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature.
Some evidence was provided, albeit limited, that immediate or early skin-to-skin contact after a Caesarean section may increase breastfeeding initiation, decrease time to the first breastfeed, reduce formula supplementation in hospital, increase bonding and maternal satisfaction, maintain the temperature of newborns and reduce newborn stress. Expand
Satisfaction with cesarean section: qualitative analysis of open-ended questions in a large postal survey.
Enhanced communication during labor and delivery, and preparation or education on issues surrounding cesarean section, can reduce distress and improve women's satisfaction with birth. Expand
The effect of malpractice claims on the use of caesarean section.
As long as stringent requirements remain for clinician attendance during vaginal birth after caesarean section, and as long as the spectre of preventable error and the lingering dread of lawsuits retain their hold on obstetrical practice, caesAREan section trends are unlikely to change. Expand
Early Skin-to-Skin Contact and Breast-Feeding Behavior in Term Neonates: A Randomized Controlled Trial
Early SSC did not improve BF behavior at discharge but significantly improved the EBF rates of term neonates, which were significantly higher in the early-SSC group than in the control group. Expand
Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case–control study
To compare maternal complications and infant outcomes for women undergoing elective caesarean sections based on a maternal request and without recorded medical indication with those of women whoExpand
Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: a randomised control trial.
Mother-infant immediate skin-to-skin contact is an easy and available method of enhancing maternal breastfeeding self-efficacy and increases exclusive breastfeeding duration. Expand
Cesarean birth in the United States: epidemiology, trends, and outcomes.
The percentage of United States cesarean births increased from 20.7% in 1996 to 31.1% in 2006. Cesarean rates increased for women of all ages, race/ethnic groups, and gestational ages and in allExpand
Fear of litigation and cesarean section rates.
The research that has been performed that attempts to epidemiologically assess the link between lawsuits, malpractice premiums and cesarean section rates is discussed and factors beyond dollars and cents that may lie at the base of the relationship are considered. Expand
Early skin-to-skin contact for mothers and their healthy newborn infants.
To assess the effects of immediate or early SSC for healthy newborn infants compared to standard contact on establishment and maintenance of breastfeeding and infant physiology, 46 randomized controlled trials were conducted. Expand