Time between skin incision and delivery during cesarean
| dc.contributor.author | Rossouw, Jana N. | en_ZA |
| dc.contributor.author | Hall, David R. | en_ZA |
| dc.contributor.author | Harvey, Justin | en_ZA |
| dc.date.accessioned | 2013-11-19T12:34:00Z | en_ZA |
| dc.date.accessioned | 2014-02-07T07:28:55Z | |
| dc.date.available | 2013-11-19T12:34:00Z | en_ZA |
| dc.date.available | 2014-02-07T07:28:55Z | |
| dc.date.issued | 2013-12 | en_ZA |
| dc.description | The original publication is available at http://www.ijgo.org/ | |
| dc.description | Please cite as follows: | |
| dc.description | Rossouw, J. N., Hall, D. & Harvey, J. 2013. Time between skin incision and delivery during cesarean. International Journal of Gynecology and Obstetrics, 121(1):82-85, doi:10.1016/j.ijgo.2012.11.008. | |
| dc.description.abstract | Objective: To investigate factors influencing skin incision-to-delivery time (including sub-divisions thereof) and the effect of these surgical intervals on immediate neonatal outcome. Methods A prospective cohort analysis was conducted of all women undergoing cesarean delivery at Tygerberg Hospital, Cape Town, South Africa, from May 24 to November 2, 2010. Three surgical intervals were evaluated: skin incision to myometrium, myometrium to delivery, and skin incision to delivery. Neonatal outcome was assessed by the 5-minute Apgar score. Results Of 1120 cesarean deliveries recorded during the study period, 77.2% were emergency procedures, which were performed more quickly at all surgical planes (P < 0.01). Adhesions in the surgical field were present in 7.4% of all primary procedures versus 67.7% of all third procedures (P < 0.001). The skin incision-to-delivery time was significantly extended among repeat procedures (P < 0.001) and increased progressively with degree of obesity (P < 0.001). Although the 3 surgical intervals were calculated individually, none of the median values correlated with a 5-minute Apgar score below 7 for emergency deliveries. Conclusion Repeat procedures, adhesions, and obesity prolonged the time taken for cesarean delivery. Nevertheless, the effect of these factors on the 5-minute Apgar score was minimal. | en_ZA |
| dc.format.extent | 10 p. | |
| dc.identifier.citation | Rossouw, J. N., Hall, D. & Harvey, J. 2013. Time between skin incision and delivery during cesarean. International Journal of Gynecology and Obstetrics, 121(1):82-85, doi:10.1016/j.ijgo.2012.11.008. | en_ZA |
| dc.identifier.issn | 0020-7292 | en_ZA |
| dc.identifier.other | doi:10.1016/j.ijgo.2012.11.008 | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/10019.1/86113 | |
| dc.publisher | Elsevier | en_ZA |
| dc.rights | Elsevier | en_ZA |
| dc.subject | Adhesions | en_ZA |
| dc.subject | Apgar score | en_ZA |
| dc.subject | Cesarean section | en_ZA |
| dc.subject | Incision-to-delivery time | en_ZA |
| dc.title | Time between skin incision and delivery during cesarean | en_ZA |
| dc.type | Article |