Family-centered Cesarean Section for Placenta Accreta Spectrum: Questions and an Addition - Revista Brasileira de Ginecologia e Obstetrícia

Letter to the Editor

Family-centered Cesarean Section for Placenta Accreta Spectrum: Questions and an Addition

Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(5):289-290

DOI: 10.1055/s-0043-1770132

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Dear Editor,

Nieto-Calvache et al. showed that family-centered cesarean section (FCS) was possible in 53.8% of patients undergoing cesarean section (CS) for placenta accreta spectrum (PAS). Main concepts of FCS are: earlier skin-to-skin contact and cesarean delivery in a relaxed atmosphere. The rationale of this study accords with this: even in PAS-CS/surgery, 1) FCS will enable earlier skin-to-skin contact, and 2) a “companion” in the surgery theater will lower the patient’s stress during CS, possibly reducing the occurrence of posttraumatic stress disorder. I fully agree with the first point. Data showed that FCS enabled earlier skin-to-skin contact at CS in general. Recommending earlier skin-to-skin contact even at PAS-CS is reasonable. Regarding the second point, I wish to ask two questions and make one addition.

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