title: An enhanced recovery programme after caesarean delivery increases maternal satisfaction and improves maternal-neonatal bonding: A case control study.
abstract: OBJECTIVE
  Enhanced recovery programmes (ERP) have been shown to improve postoperative outcomes. The aim of our study was to investigate the impact of an ERP after caesarean delivery on maternal feelings and satisfaction towards mother-child bonding initiation, in comparison with traditional postoperative care.
  
  
  METHODS
  A comparative, prospective and multicentre study was conducted in three maternity units of the Paris area: one applied traditional postoperative care while the two others applied an ERP, were included patients after elective or emergency caesarean delivery who had given birth to full-term healthy singleton newborns. Data were collected from 8th October 2014 to 31st January 2015. Patients were asked about their feelings toward the relationship with their infant using a questionnaire, to be completed one (D1) and three (D3) days after caesarean delivery.
  
  
  RESULTS
  Patients (n=86) received post-operative care in agreement with what was expected in the group in which they were included. Patients in the ERP group had more positive feelings toward the relationship with their newborn on D1 and D3, had a greater maternal satisfaction level on D1 and were more comfortable in caring for their newborn, especially for cradling and breastfeeding the child.
  
  
  CONCLUSIONS
  Our study suggests that application of ERP after caesarean delivery is associated with improved maternal satisfaction and more positive feelings toward the relationship with the newborn.
authors.affiliation: Maternity Unit, Centre Hospitalier Intercommunal de Créteil.
authors.forename: Anne
authors.initials: A
authors.lastname: Laronche
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Groupe Hospitalier et Faculté de Médecine Paris Sud, Le Kremlin-Bicêtre, France.
authors.forename: Luiza
authors.initials: L
authors.lastname: Popescu
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Groupe Hospitalier et Faculté de Médecine Paris Sud, Le Kremlin-Bicêtre, France. Electronic address: dan.benhamou@aphp.fr.
authors.forename: Dan
authors.initials: D
authors.lastname: Benhamou
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D002585:Cesarean Section / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009034:Mother-Child Relations; D009769:Object Attachment; D017060:Patient Satisfaction; D011446:Prospective Studies
keywords: Caesarean; Enhanced recovery programme; Feelings; Mother-child bonding; Satisfaction