Analysis of the influencing factors of the operation time in urgent cesarean section

ObjectiveTo explore the influencing factors of the operation time in urgent cesarean section.

MethodsThe cesarean section type, surgical indicators, total operation time and operation time from the beginning to delivery(DDI) in 366 cases treated with urgent caesarean section were investigated, and the influencing factors of the operation time were analyzed.

ResultsThe total operation time and operation time from the beginning to delivery in class Ⅰ cesarean section were shorter than those in class Ⅱ cesarean section(P < 0.01).The total operation time and operation time from the beginning to delivery in pregnant women with scar uterus were shorter than those in pregnant women without scar uterus(P < 0.05).The total operation time in patients with fetal distress, relative cephalopelvic disproportion, malposition and more hemorrhage were shorter than that in patients without above indicators(P < 0.05 to P < 0.01).The operation time from the beginning to delivery in patients with fetal distress, placental abruption and relative cephalopelvic disproportion were shorter than that in patients without above indicators(P < 0.05 to P < 0.01).The results of multilevel univariate analysis showed that fetal distress, relative cephalopelvic disproportion, scar uterus, placental deviation, blood loss and cesarean section type were related to the operation time of cesarean section(P < 0.05 to P < 0.01), and the fetal distress, placental abruption, relative cephalopelvic disproportion, scar uterus and cesarean section type were related to the DDI(P < 0.05 to P < 0.01).

ConclusionsThe indicators of urgent cesarean section and amount of blood loss are related to the operation time.Shortening the total operation time may reduce the operative blood loss and incidence rate of maternal and neonatal complication.