Recent Trends in Family-Centered Maternity Care for Cesarean-Birth Families

Authors

  • Elizabeth L. Shearer M.Ed., M.P.H.,

    1. Patricia Shiono and George Rhoads are in the Epidemiology Branch of the National Institute of Child Health and Human Development, NIH, Landow Building, Room 7C16, Bethesda, MD 20892. Elizabeth Shearer is codirector of Cesareans/Support, Education, & Concern, Inc. (ClSEC), and a childbirth educator, 30 Sheafe Street, Chestnut Hill, MA 02167.
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  • Patricia H. Shiono Ph.D.,

    1. Patricia Shiono and George Rhoads are in the Epidemiology Branch of the National Institute of Child Health and Human Development, NIH, Landow Building, Room 7C16, Bethesda, MD 20892. Elizabeth Shearer is codirector of Cesareans/Support, Education, & Concern, Inc. (ClSEC), and a childbirth educator, 30 Sheafe Street, Chestnut Hill, MA 02167.
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  • George G. Rhoads M.D., M.P.H.

    1. Patricia Shiono and George Rhoads are in the Epidemiology Branch of the National Institute of Child Health and Human Development, NIH, Landow Building, Room 7C16, Bethesda, MD 20892. Elizabeth Shearer is codirector of Cesareans/Support, Education, & Concern, Inc. (ClSEC), and a childbirth educator, 30 Sheafe Street, Chestnut Hill, MA 02167.
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Abstract

ABSTRACT: A survey of United States hospitals was conducted to determine policies relating to father attendance, use of anesthesia, and timing of mother-infant contact with cesarean deliveries, as well as hospital staffs’ perceptions of mothers’ interest in vaginal birth after cesarean. We found that the number of hospitals allowing fathers to attend cesarean births increased from 35 percent in 1979 to 80 percent in 1984. Father attendance varied with size of delivery service, region of the country, and type of anesthesia used. Approximately one-third of women with a previous cesarean were reported to have requested a trial of labor in a subsequent pregnancy. The average length of time before extended mother-infant contact after cesarean delivery was reported to be twice that after vaginal delivery (4 vs 2 hours) and varied with size of delivery service and region of the country.

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