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Decision‐to‐delivery interval and neonatal outcomes for category‐1 caesarean sections during the COVID‐19 pandemic

Anaesthesia Apr 29, 2021

Bhatia K, Columb M, Bewlay A, et al. - To determine the impact of COVID‐19 pandemic on the decision‐to delivery interval as well as on neonatal outcomes in patients who had category‐1 caesarean section, this study was undertaken. Researchers compared data of 562 patients who had emergency caesarean section between 1 April 2019 and 1 July 2019 in seven UK hospitals (pre‐COVID‐19 group) vs 577 emergency caesarean sections conducted during the same span during the COVID‐19 pandemic (1 April 2020–1 July 2020) (post‐COVID‐19 group). They found a significant reduction in general anaesthesia use between the pre‐ and post‐COVID‐19 groups. An increment in median decision‐to‐delivery interval and a reduction in the number of caesarean sections meeting the decision‐to‐delivery interval target of < 30 min was found in the post‐COVID‐19 group vs the pre‐COVID‐19 group. Similar incidence of adverse neonatal outcomes was evident in the pre‐ and post‐COVID‐19 groups. Findings showed that neonatal outcomes were not adversely impacted by the observed small increase in decision‐to‐delivery interval during the COVID‐19 pandemic.

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