Successful Maternal-Assisted Cesarean Using a Modified Australian Protocol

Area of Science:

• Obstetrics and Gynecology
• Surgical Innovation

Background:

• Several cesarean delivery methods aim to improve patient experience, including skin-to-skin contact, breastfeeding, and bonding.
• Maternal-assisted cesarean (MAC) offers greater patient involvement for those delivering via cesarean.

Purpose of the Study:

• To describe a case of maternal-assisted cesarean (MAC) in a patient with a history of prior cesarean deliveries.
• To highlight the potential for patient-centered approaches in cesarean deliveries.

Main Methods:

• A modified cesarean procedure was performed in a 31-year-old female at 39 weeks gestational age.
• Multidisciplinary planning and simulation were utilized to ensure surgical safety during maternal participation.
• The sterile drapes were lowered after fetal head and shoulder delivery, allowing the mother to assist in doğum.

Main Results:

• The maternal-assisted cesarean was successfully performed, enabling active maternal participation.
• Both mother and newborn remained stable throughout the procedure and postoperatively.
• The case demonstrates the feasibility of MAC in a patient with a history of multiple cesareans.

Conclusions:

• Maternal-assisted cesarean is an emerging patient-centered option that allows active maternal involvement during delivery.
• This technique maintains surgical safety while potentially increasing patient satisfaction.
• Further research is required to evaluate the risks and benefits of MAC before widespread adoption.