Comparison of different cesarean delivery techniques: A systematic review and meta-analysis

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Electronic Journal of General Medicine Pub Date : 2023-11-01 DOI:10.29333/ejgm/13590
A. Yuldasheva, Gulzhakhan Omarova, Zhanara Begniyazova, Shynar Saduakassova, Elmira Makhmutova, Aliya Meirmanova
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Abstract

Background: The purpose of this systematic review and meta-analysis study was to compare various caesarean delivery methods. Methods: A search for available articles published since January 2023 was accomplished in PubMed, Medline, Embase, and Cochrane literature databases. The search method that encompassed all pertinent publications was developed using terms from the medical subject headings thesaurus and keywords from related literature. We also used the PICO method (where P is population, I is intervention, C is comparator/control, and O is outcome for our study) to establish research question. Whereas Cochrane handbook of “systematic reviews of interventions” was used for risk of bias assessment. Results: The results showed a significant difference in patient gratification between the gentle/natural/skin-to-skin contact caesarean and the traditional/conventional/standard caesarean. In assessing the satisfaction with delivery mode, the mean variance for these studies similarly revealed a significant difference between the natural caesarean and the conventional one. A skin-to-skin contact caesarean delivery takes less time to start nursing than a conventional delivery, according to the results of the study on the time of breastfeeding initiation after a natural caesarean. There was a low-risk bias among the selected studies. Conclusions: As a result of greater satisfaction with delivering experience the natural caesarean delivery was most preferred method. The enhanced skin-to-skin contact and breastfeeding suggested that natural caesarean is beneficial over the conventional method.
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不同剖宫产技术的比较:系统回顾和荟萃分析
背景:本系统综述和荟萃分析研究的目的是比较不同的剖宫产方式。方法:在PubMed、Medline、Embase和Cochrane文献数据库中检索2023年1月以来发表的可用文章。包含所有相关出版物的搜索方法是使用来自医学主题标题同义词典的术语和来自相关文献的关键字开发的。我们还使用PICO方法(其中P为总体,I为干预,C为比较者/对照,O为我们研究的结果)来建立研究问题。而Cochrane手册“干预措施的系统评价”被用于偏见风险评估。结果:温和/自然/皮肤接触剖宫产与传统/常规/标准剖宫产在患者满意度上存在显著差异。在评估对分娩方式的满意度时,这些研究的平均方差同样显示了自然剖腹产和传统剖腹产之间的显着差异。根据对自然剖腹产后开始母乳喂养时间的研究结果,皮肤接触式剖腹产比传统分娩开始哺乳的时间更短。所选研究存在低风险偏倚。结论:产妇对分娩体验满意度较高,自然剖宫产是首选方式。增强的皮肤接触和母乳喂养表明,自然剖腹产比传统方法更有益。
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来源期刊
Electronic Journal of General Medicine
Electronic Journal of General Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.80%
发文量
79
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