Factors affecting caesarean operative time and the effect of operative time on pregnancy outcomes

Aim:  To determine the factors that influence caesarean operative time and operative time effects on pregnancy outcomes. Methods:  Prospective observational study of women undergoing a caesarean delivery (CD). Multiple antepartum, intrapartum and neonatal outcomes were assessed for their influence o...

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Published in:Australian & New Zealand journal of obstetrics & gynaecology 2008-06, Vol.48 (3), p.286-291
Main Authors: DOHERTY, Dorota A., MAGANN, Everett F., CHAUHAN, Suneet P., O'BOYLE, Amy L., BUSCH, Jeanne M., MORRISON, John C.
Format: Article
Language:English
Subjects:
Adolescent
Adult
caesarean delivery
Cesarean Section - statistics & numerical data
Female
Humans
operative blood loss
operative time
perinatal outcome
Pregnancy
Pregnancy Outcome
Prospective Studies
Time Factors
Virginia
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Summary:Aim:  To determine the factors that influence caesarean operative time and operative time effects on pregnancy outcomes. Methods:  Prospective observational study of women undergoing a caesarean delivery (CD). Multiple antepartum, intrapartum and neonatal outcomes were assessed for their influence on the time of the CD and the time effect of CD on pregnancy outcomes. Results:  There were 386 (23%) caesarean deliveries performed ≤ 30 min, 1070 (65%) between 31 and 60 min, and 200 deliveries ≥ 60 min. Women younger than 18 years (P= 0.004) and who had caesarean for fetal labor intolerance were associated with shorter operation time (P  35 years (P= 0.049), body mass index (BMI) ≥ 30 (P < 0.001), pre‐existing hypertension (P= 0.001), prior low segment transverse scar (P 
ISSN:0004-8666
1479-828X
DOI:10.1111/j.1479-828X.2008.00862.x