The first procedures using the FAUCS methods in Olsztyn were carried out on 7 March in the Provincial Specialist Hospital.
A smaller incision – fewer complications
The FAUCS method, also referred to as abdominal delivery, is one of the forms of extraperitoneal incision, i.e. without entering the abdominal cavity.
“We are trying to imitate the natural delivery mechanism. We perform only a very small uterine incision. The patient is previously taught to use a special mouthpiece, referred to as a ‘whistle’ by women in labour, which increases the abdominal pressure. Cooperating with the surgeon making the incision, the mother pushes the child from the uterus with her abdominal muscles. Thus the head imitates, in a way, the mechanism of biological passage through the birth canal, and consequently, children are more born than taken out from the uterus”, explains Dr hab Tomasz Waśniewski, assistant professor in the Department of Obstetrics, Perinatology and Gynaecology of the UWM, the head of the Department of Obstetrics and Gynaecology of the Provincial Specialist Hospital in Olsztyn.
The number of Caesarean sections is increasing worldwide, which is very noticeable in Poland.
“In 1990, out of all deliveries, 20% were carried out by the Caesarean sections. Nowadays it is almost a half of them, which is far beyond the European average. WHO recommends the rate for performing Caesarean sections between 15% and 20%. Unfortunately, the number of pathologies is increasing, older patients are giving birth more and more frequently and the number of non-obstetric indicators is also growing”, Dr Waśniewski adds.
Unlike natural childbirth, Caesarean section involves a much higher number of complications, both for the mother and for the baby.
“This is the reason why modern methods of incisions are constantly being sought to reduce the risk of the surgery and hospitalisation. The issue of late complication in newborns born by Caesarean section is being an increasingly wider discussed. Such children are more frequently diagnosed with diabetes, bronchial asthma or thyroid diseases. There are also complications revealed in the form of the entire range of autism spectrum disorders or ADHD. Children from elective Caesarean sections also reach a higher weight at a certain moment and are prone to obesity”, Dr Waśniewski emphasizes.
Going home after 12 hours
The first Caesarean sections using the FAUCS methods were carried out at the end of 1990s. The abdominal delivery technique was invented by the French and Israeli doctors.
“In those countries, after such an incision, patients are discharged from the hospital after only 12 hours. They quickly recover and return to normal activity and do not suffer pain. Of course, like everything in medicine, this method also requires many years of additional studies, but it is certainly very promising”, Dr Waśniewski assures.
“This is not a method for every birthing woman. It takes more time than a classic Caesarean section, so it will not work when the life of the child or the mother is in danger. This is the method intended for elective incisions. We will observe, compare the condition of mothers and newborns, and it is quite possible that this method will replace traditional Caesarean sections in our department in the nearest future”, the head of the department said.