Evidence map›Paper›PMID 36645503›Full record

ArticleArchives of gynecology and obstetrics2023

The extended gentle caesarean section protocol-expanding the scope and adding value for the family: a cross-sectional study.

Patricia Christoph, Julia Aebi, Lena Sutter, Kai-Uwe Schmitt, Daniel Surbek, Stephan Oelhafen

Open access · hybridAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Immediate skin-to-skin contact after caesarean section - A simulation study.European journal of obstetrics & gynecology and reproductive biology: X · 2025
    Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Patricia ChristophDepartment of Obstetrics and Gynecology, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.
Julia AebiDepartment of Obstetrics and Gynecology, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.
Lena SutterDepartment of Obstetrics and Gynecology, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.
Kai-Uwe SchmittSchool of Health Professions, Bern University of Applied Sciences, 3008, Bern, Switzerland. kai-uwe.schmitt@bfh.ch.ORCID 0000-0003-3439-9323
Daniel SurbekDepartment of Obstetrics and Gynecology, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.ORCID 0000-0001-7705-1584
Stephan OelhafenSchool of Health Professions, Bern University of Applied Sciences, 3008, Bern, Switzerland.ORCID 0000-0002-4238-6728
University of Bern · CHBern University of Applied Sciences · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn Switzerland, about one in three children is born by caesarean section (CS). For many women, this means a restricted birth experience, limited observation of the birth process and a restricted involvement. We evaluated an extended gentle CS protocol, which offered early intraoperative skin-to-skin contact and the possibility of observing the delivery of the baby from the abdomen through a transparent drape.

methodsThis is a cross-sectional study incorporating data from a purposely tailored questionnaire and clinical routine data. The extended gentle CS protocol was compared with the gentle CS, which does not allow the possibility of observing the delivery. Data were collected online and analysed by multivariable regression for quantitative data and content analysis for all text responses to open questions, respectively.

results193 women completed the questionnaire. Of these, 154 had a gentle CS and 39 had an extended gentle CS. Multivariable regression did not reveal a statistically significant difference for extended gentle CS with regard to satisfaction with childbirth, mother-to-child bonding, or breastfeeding duration. Nevertheless, early intraoperative skin-to-skin contact was associated with the fulfilment of birth expectations. Furthermore, most women who experienced an extended gentle CS would prefer the same procedure for any potential future CS.

conclusionsAlthough our study showed no statistically significant difference in satisfaction from using a transparent drape, most women expressed a preference for this technique. We recommend that the option of an extended gentle CS should be offered to all women for whom CS is indicated.

Indexed as

Cesarean SectionInfectious Disease Transmission, VerticalCross-Sectional StudiesFemaleHumansParturitionPregnancySurveys and QuestionnairesBirth experienceBreastfeedingGentle caesarean sectionMother-to-child bondSkin-to-skin contact

Identifiers

PMID36645503
PMCPMC10110671
OpenAlexW4316662177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.