Citation
Son, Moeun; Lai, Yinglei; Bailit, Jennifer L.; Reddy, Uma M.; Wapner, Ronald J.; Varner, Michael W.; Thorp, John M., Jr.; Caritis, Steve N.; Prasad, Mona; & Tita, Alan T. N., et al. (2020). Association between Time of Day and the Decision for an Intrapartum Cesarean Delivery. Obstetrics & Gynecology, 135(3), 353-341. PMCID: PMC7595762Abstract
OBJECTIVE: To examine whether the decision and indications for performing intrapartum cesarean delivery vary by time of day.METHODS: We conducted a secondary analysis of a multicenter observational cohort of 115,502 deliveries (2008-2011), including nulliparous women with term, singleton, nonanomalous live gestations in vertex presentation who were attempting labor. Those who attempted home birth, or underwent cesarean delivery scheduled or decided less than 30 minutes after admission were excluded. Time of day was defined as cesarean delivery decision time among those who delivered by cesarean and delivery time among those who delivered vaginally, categorized by each hour of a 24-hour day. Primary outcomes were decision to perform cesarean delivery and the indications for cesarean delivery (labor dystocia, nonreassuring fetal status, or other indications). Secondary outcomes included whether a dystocia indication adhered to standards promoted to reduce cesarean delivery rates. Bivariate analyses were performed using
URL
http://dx.doi.org/10.1097/AOG.0000000000003707Reference Type
Journal ArticleYear Published
2020Journal Title
Obstetrics & GynecologyAuthor(s)
Son, MoeunLai, Yinglei
Bailit, Jennifer L.
Reddy, Uma M.
Wapner, Ronald J.
Varner, Michael W.
Thorp, John M., Jr.
Caritis, Steve N.
Prasad, Mona
Tita, Alan T. N.
Saade, George R.
Sorokin, Yoram
Rouse, Dwight J.
Blackwell, Sean C.
Tolosa, Jorge E.
the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU) Network,