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10.1111/anae.15489

http://scihub22266oqcxt.onion/10.1111/anae.15489
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33891311!8251307!33891311
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suck abstract from ncbi


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pmid33891311      Anaesthesia 2021 ; 76 (8): 1051-1059
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  • Decision-to-delivery interval and neonatal outcomes for category-1 caesarean sections during the COVID-19 pandemic #MMPMID33891311
  • Bhatia K; Columb M; Bewlay A; Tageldin N; Knapp C; Qamar Y; Dooley A; Kamath P; Hulgur M
  • Anaesthesia 2021[Aug]; 76 (8): 1051-1059 PMID33891311show ga
  • General anaesthesia is known to achieve the shortest decision-to-delivery interval for category-1 caesarean section. We investigated whether the COVID-19 pandemic affected the decision-to delivery interval and influenced neonatal outcomes in patients who underwent category-1 caesarean section. Records of 562 patients who underwent emergency caesarean section between 1 April 2019 and 1 July 2019 in seven UK hospitals (pre-COVID-19 group) were compared with 577 emergency caesarean sections performed during the same period during the COVID-19 pandemic (1 April 2020-1 July 2020) (post-COVID-19 group). Primary outcome measures were: decision-to-delivery interval; number of caesarean sections achieving decision-to-delivery interval < 30 min; and a composite of adverse neonatal outcomes (Apgar 5-min score < 7, umbilical arterial pH < 7.10, neonatal intensive care unit admission and stillbirth). The use of general anaesthesia decreased significantly between the pre- and post-COVID-19 groups (risk ratio 0.48 (95%CI 0.37-0.62); p < 0.0001). Compared with the pre-COVID-19 group, the post-COVID-19 group had an increase in median (IQR [range]) decision-to-delivery interval (26 (18-32 [4-124]) min vs. 27 (20-33 [3-102]) min; p = 0.043) and a decrease in the number of caesarean sections meeting the decision-to-delivery interval target of < 30 min (374/562 (66.5%) vs. 349/577 (60.5%); p = 0.02). The incidence of adverse neonatal outcomes was similar in the pre- and post-COVID-19 groups (140/568 (24.6%) vs. 140/583 (24.0%), respectively; p = 0.85). The small increase in decision-to-delivery interval observed during the COVID-19 pandemic did not adversely affect neonatal outcomes.
  • |*COVID-19[MESH]
  • |*Clinical Decision-Making[MESH]
  • |*Pregnancy Outcome[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Anesthesia, General/*statistics & numerical data[MESH]
  • |Apgar Score[MESH]
  • |Cesarean Section/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant, Newborn[MESH]
  • |Middle Aged[MESH]
  • |Pregnancy[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Time Factors[MESH]
  • |United Kingdom[MESH]


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