title: Promotion of family-centered birth with gentle cesarean delivery.
abstract: OBJECTIVE
  In this commentary we describe our experience developing a "gentle cesarean" program at a community hospital housing a family medicine residency program. The gentle cesarean technique has been popularized in recent obstetrics literature as a viable option to enhance the experience and outcomes of women and families undergoing cesarean delivery.
  
  
  METHODS
  Skin-to-skin placement of the infant in the operating room with no separation of mother and infant, reduction of extraneous noise, and initiation of breastfeeding in the operating room distinguish this technique from traditional cesarean delivery. Collaboration among family physicians, obstetricians, midwives, pediatricians, neonatologists, anesthesiologists, nurses, and operating room personnel facilitated the provision of gentle cesarean delivery to families requiring an operative birth.
  
  
  RESULTS
  Among 144 gentle cesarean births performed from 2009 to 2012, complication rates were similar to or lower than those for traditional cesarean births. Gentle cesarean delivery is now standard of care at our institution.
  
  
  CONCLUSIONS
  By sharing our experience, we hope to help other hospitals develop gentle cesarean programs. Family physicians should play an integral role in this process.
authors.affiliation: From the Department of Family Medicine, Memorial Hospital of Rhode Island, Providence (SRM, MN); Butler Hospital, Providence, RI (CB); Women & Infants' Hospital of Rhode Island, Providence (CB); and Warren Alpert Medical School, Brown University, Providence, RI (SRM, CB, JM, MN). susannamagee@gmail.com.
authors.forename: Susanna R
authors.initials: SR
authors.lastname: Magee
authors.affiliation: From the Department of Family Medicine, Memorial Hospital of Rhode Island, Providence (SRM, MN); Butler Hospital, Providence, RI (CB); Women & Infants' Hospital of Rhode Island, Providence (CB); and Warren Alpert Medical School, Brown University, Providence, RI (SRM, CB, JM, MN).
authors.forename: Cynthia
authors.initials: C
authors.lastname: Battle
authors.affiliation: From the Department of Family Medicine, Memorial Hospital of Rhode Island, Providence (SRM, MN); Butler Hospital, Providence, RI (CB); Women & Infants' Hospital of Rhode Island, Providence (CB); and Warren Alpert Medical School, Brown University, Providence, RI (SRM, CB, JM, MN).
authors.forename: John
authors.initials: J
authors.lastname: Morton
authors.affiliation: From the Department of Family Medicine, Memorial Hospital of Rhode Island, Providence (SRM, MN); Butler Hospital, Providence, RI (CB); Women & Infants' Hospital of Rhode Island, Providence (CB); and Warren Alpert Medical School, Brown University, Providence, RI (SRM, CB, JM, MN).
authors.forename: Melissa
authors.initials: M
authors.lastname: Nothnagle
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006764:Hospitals, Community; D006801:Humans; D007231:Infant, Newborn; D009034:Mother-Child Relations; D009769:Object Attachment; D019982:Organizational Case Studies; D018802:Patient-Centered Care / Q000379:methods*; D011247:Pregnancy; D012237:Rhode Island; D012879:Skin Physiological Phenomena; D059039:Standard of Care; D014110:Touch / Q000502:physiology*
keywords: Birth; Breast Feeding; Cesarean Section; Family; Mother–Infant Interaction