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Operating Room-to-Incision Interval and Neonatal Outcome in Emergency Caesarean Section

A Retrospective 5-Year Cohort Study

Palmer, E.; Ciechanowicz, S.; Reeve, A.; Harris, S.; Wong, D.J.N.; Sultan, P.

Obstetric Anesthesia Digest: June 2019 - Volume 39 - Issue 2 - p 57–58
doi: 10.1097/
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(Anaesthesia. 2018;73:825–831)

In the United Kingdom, cesarean deliveries (CD) are classified based on a system that defines the urgency of the surgery. A category 1 CD is one in which there is an immediate threat to the life of the mother or fetus while a category 4 CD has no urgency and can be done at a time convenient to the patient and obstetric unit. There are limited data as to the effect of anesthesia technique used on the operating room-to-incision interval (ORII) and neonatal outcomes. The current study was undertaken to assess the relationship between CD category and ORII. ORII was the time from entering the operating room to the start of surgery and includes all of the time to induce anesthesia (with the exception of an epidural top-up started in the delivery room). Unlike decision-to-delivery interval, this gives a clearer impression of the influence of anesthesia on delivery times and outcomes. In addition, the investigators evaluated associations between anesthetic technique and ORII and neonatal outcomes for women undergoing a category 1 CD.

Department of Anaesthesia, University College London Hospital, London, UK

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