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French ambulatory cesarean: Mother and newborn safety
Author(s) -
Dimassi Kaouther,
Ami Olivier,
Fauck Denis,
Simon Benedicte,
Velemir Luka,
Triki Amel
Publication year - 2020
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.13013
Subject(s) - medicine , interquartile range , ambulatory , cesarean delivery , prospective cohort study , meal , pregnancy , obstetrics , surgery , pediatrics , genetics , biology
Objective To evaluate mother and newborn child safety after French ambulatory cesarean ( FAUCS ). Methods Prospective comparative cohort study in Tunisia (January–June 2018). Pregnant women indicated for primary or repeat cesarean at term underwent FAUCS or Misgav Ladach cesarean ( MLC ). Surgical outcomes, overall morbidity, and maternal autonomy during recovery were compared. Results Among 112 deliveries, 60 were performed by FAUCS and 52 by MLC . FAUCS was feasible in all cases; surgeons achieved a completely extraperitoneal approach in 39 (65.0%) cases. The main difficulty experienced was fetal extraction. Longer operative procedures were recorded in the FAUCS group; however, women in the FAUCS group reported lower pain scores (3 [2–5] vs 4 [3.7–5], P <0.001) and were more likely to decline analgesics (10 [17.0%] vs 0 [0%], P <0.001). They experienced greater autonomy during recovery (median [interquartile range] time to standing, 2 [1.0–2.5] vs 12.8 [8.9–17.9] hours, P <0.001; time to full meal, 4 [3–6[ vs 26.5 [21–31] hours, P <0.001; effective time to hospital discharge, 1 [1, 2] vs 2 [2, 3] days; P <0.001). Conclusion Implementation of the FAUCS technique was safe and successful, and improved maternal condition after cesarean. These short‐term results need long‐term validation by randomized trials.