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Updated: Jul 20, 2025
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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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The association between indications for cesarean delivery and surgery time
Daniel Gabbai1,2, Anat Lavie1,2, Yariv Yogev1,2
1Lis Hospital for Women, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Summary
General anesthesia, abnormal placentation, previous uterine scar, and preterm delivery increase cesarean delivery (CD) surgical time. Factors like malpresentation and multiple gestations were protective, reducing prolonged CD duration.
Area of Science:
- Obstetrics and Gynecology
- Surgical Outcomes Research
Background:
- Cesarean delivery (CD) duration can vary significantly.
- Identifying factors associated with prolonged CD is crucial for improving patient safety and resource allocation.
Purpose of the Study:
- To determine the risk factors associated with prolonged surgical time in cesarean delivery (CD).
Main Methods:
- Retrospective cohort study of 31,660 cesarean deliveries from 2011-2022.
- Comparison of demographic, obstetric, and surgical characteristics between CDs >90 minutes and <90 minutes.
- Multivariate analysis to identify significant risk and protective factors.
Main Results:
- Abnormal placentation, previous uterine scar, general anesthesia, and preterm delivery were significant risk factors for prolonged CD (>90 minutes).
- Malpresentation, multiple gestations, and patient request were identified as protective factors, associated with shorter operative times.
- Approximately 4.4% of all CDs in the cohort exceeded 90 minutes.
Conclusions:
- General anesthesia, abnormal placentation, previous uterine scar, and preterm delivery are key risk factors for extended cesarean delivery surgical time.
- Understanding these factors can inform surgical planning and patient counseling to mitigate risks associated with prolonged procedures.
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