JNSS 2025, 16(3-4):78-86 | DOI: 10.32725/jnss.2025.014

Specifics of nursing care for a healthy newborn after a caesaren section

Michaela Fousová, Alena Machová ORCID...*
University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Department of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic

Goals: This study aims to describe and compare nursing care for healthy newborns after caesaren sections, focusing on how the mode of delivery influences maternal involvement, the initiation of breastfeeding, and the overall hospital stay.

Methods: The research is based on a qualitative analysis of semi-structured interviews with ten nurses working in neonatal units at two hospitals in the South Bohemian Region of the Czech Republic. Data were analysed using open coding and the categorisation of recurring themes.

Results: The findings indicate that newborns delivered via caesaren section generally require more nursing support, as mothers are often fatigued and less able to provide immediate infant care. Breastfeeding tends to begin later, and maternal education on newborn care may be delayed. Early bonding between mother and child can encounter more challenges. Additionally, fathers frequently assume a more active role in newborn care during this time.

Conclusion: This study highlights the importance of an empathetic and flexible nursing approach to ensure a successful start to motherhood, regardless of the delivery method.

Keywords: Childbirth; Caesaren section; Newborn; Nursing care; Pediatric nurse
Conflicts of interest:

The authors have no conflict of interest to declare.

Received: September 25, 2025; Revised: November 4, 2025; Accepted: November 27, 2025; Prepublished online: November 27, 2025; Published: December 12, 2025  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Fousová M, Machová A. Specifics of nursing care for a healthy newborn after a caesaren section. Journal of Nursing, Social Studies, Public Health and Rehabilitation. 2025;16(3-4):78-86. doi: 10.32725/jnss.2025.014.
Download citation

References

  1. Belešová R, Machová A, Mágrová M, Filausová D (2025). Care for women and newborns in South Bohemian obstetrics wards. Kontakt 27(1): 15-22. DOI: 10.32725/kont.2025.007. Go to original source...
  2. Cunningham F, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM (Eds). (2022). Williams Obstetrics. 26th ed. McGraw Hill. [online] [cit. 2025-01-22]. Available from: https://accessmedicine.mhmedical.com/content.aspx?bookid=2977§ionid=249396578
  3. Dokoupilová M, Gregora M (2021). Co nás čeká v porodnici a co doma? [What to expect at the maternity hospital and at home?]. EEZY Publishing, 167 p.
  4. Dort J, Dortová E, Jehlička P (2018). Neonatologie [Neonatology]. (3rd ed.). Praha: Karolinum, 118 p.
  5. Fendrychová J (2021). Vybrané kapitoly z ošetřovatelské péče v pediatrii, 2. část Péče o novorozence (2nd rev. ed.). [Selected chapters from nursing care in pediatrics, part 2: Care of newborns]. NCO NZO, 149 p.
  6. Hooper SB, Roberts C, Dekker J, Te Pas AB (2019). Issues in cardiopulmonary transition at birth. Semn Fetal Neonatal Med 24(6): 101033. DOI: 10.1016/j.siny.2019.101033. Go to original source... Go to PubMed...
  7. Institute of Health Information and Statistics of the Czech Republic (2021). Metodika realizace screeningového vyšetření vrozené srdeční vady u novorozenců [Methodology for screening newborns for congenital heart defects]. Národní screeningové centrum. [online] [cit. 2025-01-22]. Available from: https://nsc.uzis.cz/res/file/projekty/cchd/cchd-metodika-realizace-screeningoveho-vysetreni.pdf
  8. Jullien S (2021). Vitamin K prophylaxis in newborns. BMC Pediatr 21(Suppl 1): 350. DOI: 10.1186/s12887-021-02701-4. Go to original source... Go to PubMed...
  9. Kachlová M, Kučová J, Petrášková V (2022). Ošetřovatelská péče v neonatologie [Nursing care in neonatology]. Praha: Grada, 184 p.
  10. Karabayir N, Mertturk Potak E, Karaman S, Sebirli MF, Istanbullu MB, Potak M, Teber BG (2022). The Finger Feeding Method and Relactation. Cureus 14(4): e24044. DOI: 10.7759/cureus.24044. Go to original source... Go to PubMed...
  11. Martínez-Hortelano JA, Saz-Lara A, González JLG, Cristóbal-Aguado S, Iglesias-Rus L, Martínez-Vizcaíno V, Garrido-Miguel M (2025). Skin to-skin contact and breastfeeding after caesarean section: A systematic review and meta analysis of intervention studies. Int J Nurs Stud 166: 105038. DOI: 10.1016/j.ijnurstu.2025.105038. Go to original source... Go to PubMed...
  12. Mazúchová L, Kelčíková S, Maskalová E, Malinovská N, Grendár M (2021). Mother-infant bonding and its associated factors during postpartum period. Kontakt 23(2): 126-132. DOI: 10.32725/kont.2021.018. Go to original source...
  13. Mazúchová L, Maskálová E, Škodová Z, Koteríková D, Kelčíková S, Malinovská N, et al. (2024). Self-efficacy of mothers in breastfeeding and psychometric properties of the Slovak version of the BSES-SF. Kontakt 26(1): 45-51. DOI: 10.32725/kont.2024.008. Go to original source...
  14. Ministry of Health of the Czech Republic (2020). Věstník č. 11/2020. Metodické doporučení MZČR pro poskytovatele zdravotních služeb v oboru gynekologie a porodnictví a neonatologie pro efektivní organizaci práce porodnic a pro maximální zabezpečení personálního využití porodnici asistentek při vedení porodu v rámci stávající sítě porodnic. [Methodological recommendations of the Ministry of Health of the Czech Republic for healthcare providers in the field of gynecology, obstetrics, and neonatology for the effective organization of maternity hospitals and for maximizing the use of maternity assistants in childbirth within the existing network of maternity hospitals]. [online] [cit. 2025-01-22]. Available from: https://mzd.gov.cz/vestnik/vestnik-c-11-2020/
  15. Mortensen MK, Holm KG, Mose LS (2025). Parents' Experineces With Couplet care Following Caesarean Section in an Integrated Neonatal and Maternity Unit. Adv Neonatal Care 25(3): E18-E26. DOI: 10.1097/ANC.000000000000124. Go to original source...
  16. Procházka M, et al. (2020). Porodní asistence [Midwifery]. Praha: Maxdorf, 788 p.
  17. Ratislavová K, Hendrych Lorenzová E, Janoušková K, Martin CR (2023). Psychosocial factors affecting women's satisfaction with childbirth. Kontakt 25(4): 292-297. DOI: 10.32725/kont.2023.047. Go to original source...
  18. Roztočil A, et al. (2020). Porodnictví v kostce. [Obstetrics in a nutshell]. Praha: Grada, 592 p.
  19. Simon LV, Shah M, Bragg BN (2024) Skóre APGAR. StatPearls Publishing. [online] [cit. 2025-01-22]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470569/
  20. Skelly CL, Zulfiqar H, Sankararaman S (2023). Meconium. StatPearls. StatPearls Publishing. [online] [cit. 2025-05-06]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK542240/
  21. Xu J, Zhang M, Li Y, Gu S (2024). Implementation of early essential neonatal care for newborns delivered by caesaren section in Jiaxing: A single-center prospective randomized controlled trial. Int Breastfeed J 19(1): 31. DOI: 10.1186/s13006-024-00635-y. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.