Natural Caesareans...anyone seen this?

offlabel · May 17, 2016

Well, as long as they don't see a spike in wound infections.... whatever...

nancynance · May 17, 2016

Wow, new grad L&D nurse here. I love the delayed cord-clamping, but why are they not worried about the baby getting cold?

shortstuff31117 · May 17, 2016

Looks like a contaminated surgical field to me. I'm all for making the experience better but wow. Curious to see infection rates.

quazar · May 17, 2016

Wow, new grad L&D nurse here. I love the delayed cord-clamping, but why are they not worried about the baby getting cold?

Well, several things could help prevent that. In my hospital, for instance, the L&D OR is kept at a higher temperature specifically to help avoid neonatal and maternal hypothermia. Also, immediate skin to skin contact, even after a c/s (we do this at my hospital as well) helps keep baby nice and warm.

Like the PP, I am just kinda freaked out about possible infections, however I would hope there is research and good evidence to back up this practice.

Julius Seizure · May 17, 2016

I'd feel okay with it if they would all just put masks on. That's not a big request!

djh123 · May 18, 2016

"Wot's this? Look, mate, she's got a little Yoda in there, innit?"

djh123 · May 18, 2016

"Natural Caesarean" is like "Genuine imitation leather". But having watched the video, I guess it's ok...

SoldierNurse22, BSN, RN · May 18, 2016

Holy contaminated field, batman.

I'm good with "gentle" c/s practice in a non-emergent setting, but this...looks like you're asking for an infection.

The natural caesarean: a woman-centred technique

Interesting article, but with very little evidence behind it as this is clearly a new practice. Please note that the above article does not address an increased risk of infection at all.

quazar · May 18, 2016

Holy contaminated field, batman.
I'm good with "gentle" c/s practice in a non-emergent setting, but this...looks like you're asking for an infection.
The natural caesarean: a woman-centred technique
Interesting article, but with very little evidence behind it as this is clearly a new practice. Please note that the above article does not address an increased risk of infection at all.

Ooh, thanks for the article. Yikes.

**LibraSunCNM, BSN, MSN, CNM** · May 19, 2016

The thought of being able to see my abdomen open right in front of me... :nailbiting: No thanks! Skin-to-skin right after the baby's out would be sufficiently "natural" for me.

cayenne06, MSN, CNM · May 19, 2016

Well, I for one would jump at the chance to watch my own surgery. But I admit I might be in the minority on that.

I liked parts of both the videos and a article. I have to admit that I didn't watch them closely, but i didn't see any major problems with the field, except those people laughing over the field without caps or gowns. I've participated as first assist at a facility that really focuses on the family's experience. We had a section on our "birth plan" form with c/s questions- lights low, baby to your chest or to warmer, support person, etc.

We had a mom who had wanted a home birth but found out it was twins. so she came to see us for a nice lady partsl twin birth. But baby A is breech and she does not have a proven pelvis= c/s is the best recommendation. So she wanted some control over her experience, after all that rollercoaster. She wanted as little light as possible, and as little speaking as possible. And she wanted delayed clamping.

So we turned off all the lights except the overhead table lights and the warmer lights. Per mother's request, drapes were put down for the actual birth part. Baby A was born calmy, and just held by the OB while the other OB retrieved the second baby.and laid on sterile towels up on moms legs. Clamp the cord after ~45 s delay (cords ere too short to pass babies up to mom while attached) Babies are passed, one by one, over the sterile boundary. Anesthesia gloved up so he could help with the passes. Drape went back up to finish the surgery, babies got snuggled into mom's chest while the nurses checked them over. And they were both nursing when she was wheeled out.

We do pretty damn good sections in this country. Now we must widen our focus to improving the experience for the patient. A c/s is a different situation than most procedures. Your patient is wide awake, and excited to meet her baby at last. Let's make the OR a friendlier and more calming place for moms and babies.