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Am J Obstet Gynecol. 2006 Oct;195(4):1132-7. Epub 2006 Jul 26.

The MFMU Cesarean Registry: impact of time of day on cesarean complications.

Author information

1
Department of Obstetrics and Gynecology, Case Western Reserve University, Cleveland, OH, USA.

Abstract

OBJECTIVE:

Studies suggest that sleep deprivation adversely affects performance. We hypothesized that cesarean delivery complications would be more frequent during the night shift (11 pm-7 am), and evaluated morbidities by delivery shift.

STUDY DESIGN:

Eighteen thousand nine hundred and thirty-nine term women undergoing an unscheduled cesarean delivery in 13 centers from 1999 to 2000 within a prospective observational study were included. Maternal/neonatal morbidities and time from decision to cesarean delivery were evaluated by time of delivery (7 am-3 pm, 3 pm-11 pm, 11 pm-7 am). A composite of maternal morbidities was evaluated by logistic regression controlling for potentially confounding factors.

RESULTS:

Controlling for age, race, insurance, cardiac disease, preeclampsia, diabetes, previous incision type, and prenatal care, shift of delivery had no impact on maternal morbidity (11 pm-7 am OR 0.9 [95% CI 0.81-1.0]). NICU admissions were slightly increased at night but neonatal complications were not.

CONCLUSION:

Maternal and neonatal complications of cesarean delivery do not increase with delivery during the night shift.

PMID:
16875648
DOI:
10.1016/j.ajog.2006.06.009
[Indexed for MEDLINE]

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