Evidence map›Paper›PMID 41971471›Full record

ArticleCase reports in obstetrics and gynecology2026

Successful Maternal-Assisted Cesarean Using a Modified Australian Protocol.

Caroline Lamoutte, Adaeze Anamege, Lauren Silva, Joanne J Tanner, Natalie Elphinstone, Adam L Wendling, Adetola F Louis-Jacques

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In one paragraph

Article in Case reports in obstetrics and gynecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Caroline LamoutteDepartment of Obstetrics, Gynecology and Women's Health, St. Louis University School of Medicine, St. Louis, Missouri, USA, slu.edu.ORCID https://orcid.org/0009-0003-0434-7319
Adaeze AnamegeDepartment of Epidemiology, University of Florida College of Public Health and Health Professions and College of Medicine, Gainesville, Florida, USA, ufl.edu.ORCID https://orcid.org/0000-0002-9943-7784
Lauren SilvaDepartment of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, Florida, USA, ufl.edu.ORCID https://orcid.org/0009-0006-1525-4443
Joanne J TannerLabor and Delivery Unit, University of Florida Health Shands Hospital, Gainesville, Florida, USA.
Natalie ElphinstoneDepartment of Women's Health, Peninsula Health, Frankston, Australia, peninsulacommunityhealth.co.uk.
Adam L WendlingDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA, ufl.edu.ORCID https://orcid.org/0000-0003-2832-5280
Adetola F Louis-JacquesDepartment of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, Florida, USA, ufl.edu.ORCID https://orcid.org/0000-0002-2119-9739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Several delivery methods such as the natural, gentle, Charité, and family-centered cesareans have been introduced to labor and delivery units to help facilitate immediate skin-to-skin, earlier breastfeeding, and bonding, as well as increase patient satisfaction with the birthing experience. For patients who deliver by cesarean and desire further involvement in the delivery process, maternal-assisted cesarean (MAC) may be an option. Case Presentation: This case details a MAC at 39 weeks gestational age (GA) for a 31-year-old female with a history of two unplanned cesareans. The first was due to arrest of dilation and nonreassuring fetal heart tracing, and the second followed a failed trial of labor. In this current case, the patient desired a controlled delivery she could actively participate in. Following multidisciplinary planning and simulation, the cesarean was performed with modifications to maintain sterility while allowing maternal participation. After delivery of the fetal head and shoulders, sterile drapes were lowered, and the patient, guided by the surgical team, assisted in delivering the newborn onto her chest. Both mother and newborn remained stable postoperatively. Conclusion: This emerging patient-centered cesarean enables active participation of the patient during delivery while maintaining surgical safety. Despite its rising popularity, studies are needed to evaluate its risks and benefits before wider adoption.

Indexed as

maternal participationoperative obstetricspatient-centered cesarean

Identifiers

PMID41971471
PMCPMC13065859

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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.