[What factors modify the condition of the newborn infant in emergency cesarean section?].
Based on 207 emergency caesarean sections carries out in 66 maternity units in North Rhine Westphalia, the condition of the newborns (pH, UA and Apgar-index after 1 minute) was examined focusing the dependence of these variables from the time management (5 time factors were analysed). Rank-correlation coefficients according to SPEARMAN were calculated and a stepwise multiple regression analysis was performed. We found a significant (P less than 0.005) positive correlation on the one hand between the preparation time for the caesarean-section (time 1) and the actual pH (UA) and on the other hand between the total time (decision to perform a caesarean section up to the delivery of the baby (time 3)) and the actual pH, UA. No significant correlation was found between the time-factors and the Apgar-index (1 min). As the correlations are positive, this means that very low pH values are associated with short time intervals and high pH values with longer time intervals respectively. We concluded, that in case of an emergency caesarean section the urgency of the emergency itself controls and determines the time management. The spatial situation in each hospital which is reflected in the time factors 4 and 5 seems to be of less important for the overall result.
Roemer
V M
VM
Frauenklinik des Kreiskrankenhauses Detmold.
Heger-Römermann
G
G
D000136:Acid-Base Equilibrium / Q000502:physiology*; D001034:Apgar Score; D002585:Cesarean Section; D003627:Data Interpretation, Statistical; D004630:Emergencies; D005260:Female; D005316:Fetal Distress / Q000517:prevention & control; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D012044:Regression Analysis; D013997:Time Factors
Welche Faktoren beeinflussen den Zustand des Neugeborenen beim Notfall-Kaiserschnitt?