Haaksma, Femke (2026) Tien jaar huid-op-huid sectio: klinische uitkomsten en eerste ervaringen met de moeder�geassisteerde keizersn. thesis, Medicine.
Full text available on request.Abstract
Background: the skin‑to‑skin caesarean section (SSCS) was introduced ten years ago as a patient‑centered alternative to the conventional caesarean section, aiming to enhance maternal– infant bonding and to improve clinical outcomes. In 2024, the maternal assisted caesarean section (MACS) was implemented at the Martini Hospital. Systematic evaluation of both techniques remains limited. Objective: to assess maternal and neonatal outcomes of the SSCS in 2024 compared with a historic cohort from 2013 and to evaluate maternal experiences with the MACS. Methods: a retrospective cohort study was conducted including all SSCS performed in 2024, compared with a 2013 cohort. The primary outcome was surgical‑site infection; secondary outcomes included blood loss, length of hospital stay and neonatal morbidity. Additionally, a descriptive analysis was performed of the MACS in 2025. To evaluate patient experiences the Maternal Satisfaction Scale for Caesarean Section (MSS‑CS) was used. Results: a total of 648 SSCS were analyzed. No significant differences were found in maternal or neonatal complications between 2013 and 2024. Length of hospital stay was significantly shorter in 2024 (3.1 vs. 4.0 days; p < 0.001), while operative time was longer. Neonatal outcomes were comparable, except for a higher birthweight in 2024. Of the 12 MACS patients, 2 completed the questionnaire; both reported positive experiences regarding sense of control and early contact with their baby. Conclusion: the SSCS remains a safe procedure with favorable maternal and neonatal outcomes. Early experiences with the MACS are promising, although further evaluation in larger cohorts is required
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Posthuma, S. |
| Faculty: | Medical Sciences |
| Date Deposited: | 30 Oct 2026 09:59 |
| Last Modified: | 30 Oct 2026 09:59 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3988 |
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