The Effect of Spinal Hypotension and Anesthesia-to-Delivery Time Interval on Neonatal Outcomes in Planned Cesarean Delivery

Knigin, David; Avidan, Alexander; Weiniger, Carolyn F.

doi:10.1097/ogx.0000000000000919

Cited by 5 publications

(8 citation statements)

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“…1 With regard to neonatal outcomes, the rise in neonatal morbidity may be related to several causes such as duration from incision to delivery, duration of anesthesia, type of anesthesia, and difficulty in delivery of neonate as demonstrated in prior studies. 6,15 The strengths of this study include the use of a nationwide, contemporary data set. We used the 2003 revised birth certificate, which represents 96%-100% of all live births in the USA between 2014 and 2018.…”

Section: Discussionmentioning

confidence: 99%

The association between number of repeat cesarean deliveries and adverse outcomes among low‐risk pregnancies

Backley

Chen

Sibai

et al. 2022

Intl J Gynecology & Obste

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Objective To investigate maternal and neonatal adverse outcomes among low‐risk pregnancies delivered at 37 weeks or more by repeat cesarean deliveries (CD). Methods A population‐based, retrospective study using the US vital statistics data sets (2014–2018) evaluating low‐risk pregnancies with a non‐anomalous singleton non‐laboring repeat CD from 37 to 41 weeks of pregnancy. Women with hypertensive disorders or diabetes were excluded. Primary outcome was composite maternal adverse outcome (CMAO). Secondary outcome was composite neonatal adverse outcome (CNAO). Multivariable Poisson regression models were used to estimate the association between number of repeat CD and outcomes (using adjusted relative risks [aRR] and 95% confidence interval [CI]). Results Of the 19 623 195 live births, 1 747 610 (8.9%) met the inclusion criteria and among them, 1 144 186 (65.5%) were to women who had one prior CD, 454 817 (26.0%) had two prior CD, 119 087 (6.8%) had three prior CD, and 29 520 (1.7%) had four or more prior CD. Compared with individuals with one prior CD, the risk of CMAO was higher in individuals with two (aRR 1.41, 95% CI 1.34–1.48), three (aRR 1.96, 95% CI 1.83–2.10), and four or more (aRR 2.98, 95% CI 2.69–3.29) prior CD. An increased risk of CNAO was also found with an increasing number of repeat CD. Conclusion Among women with low‐risk pregnancies undergoing repeat CD, increasing number of prior CD was associated with a higher risk of adverse outcomes.

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Section: Discussionmentioning

confidence: 99%

The association between number of repeat cesarean deliveries and adverse outcomes among low‐risk pregnancies

Backley

Chen

Sibai

et al. 2022

Intl J Gynecology & Obste

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“…The interval between skin incision to delivery and the duration of hypotensive episodes are other possible determinants of APGAR scores (8,9). Anesthesia induction to incision and incision to delivery intervals were not recorded, so they could not be assessed.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Evaluation of the Effect of Prophylactic Norepinephrine Infusion on Preventing Spinal Anesthesia Induced Hypotension During Cesarean Section

Ataibis¹,

Özkan²,

Senkal³

et al. 2022

JARSS

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“…The effects of sustained spinal hypotension and prolonged anesthesia-to-incision and incision-to-delivery intervals were additive. 48 Treatment for spinal anesthesia-induced hypotension focuses on prophylactic vasopressor infusions, www.anesthesia-analgesia.org…”

Section: Spinal Anesthesia-induced Hypotension: Consequences and Trea...mentioning

confidence: 99%

What Is New in Obstetric Anesthesia: The 2021 Gerard W. Ostheimer Lecture

Lim

2022

Anesthesia &Amp; Analgesia

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The Gerard W. Ostheimer lecture is given annually to members of the Society for Obstetric Anesthesia and Perinatology. This lecture summarizes new and emerging literature that informs the clinical practice of obstetric anesthesiologists. In this review, some of the most influential articles discussed in the 2021 virtual lecture are highlighted. Themes include maternal mortality; disparities and social determinants of health; cognitive function, mental health, and recovery; quality and safety; operations, value, and economics; clinical controversies and dogmas; epidemics and pandemics; fetal-neonatal and child health; general clinical care; basic and translational science; and the future of peripartum anesthetic care. Practice-changing evidence is presented and evaluated. A priority list for clinical updates, systems, and quality improvement initiatives is presented.

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The Effect of Spinal Hypotension and Anesthesia-to-Delivery Time Interval on Neonatal Outcomes in Planned Cesarean Delivery

Abstract: (Abstracted from Am J Obstet Gynecol 2020;223:747.e1–747.e13) Maternal hypotension after spinal anesthesia is a common complication. Previous studies have shown that spinal hypotension is associated with neonatal acidosis.

Cited by 5 publications

References 0 publications

The association between number of repeat cesarean deliveries and adverse outcomes among low‐risk pregnancies

The association between number of repeat cesarean deliveries and adverse outcomes among low‐risk pregnancies

Retrospective Evaluation of the Effect of Prophylactic Norepinephrine Infusion on Preventing Spinal Anesthesia Induced Hypotension During Cesarean Section

What Is New in Obstetric Anesthesia: The 2021 Gerard W. Ostheimer Lecture

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