The MFMU Cesarean Registry: Impact of time of day on cesarean complications

Jennifer L. Bailit; Mark B. Landon; Elizabeth Thom; Dwight J. Rouse; Catherine Y. Spong; Michael W. Varner; Atef H. Moawad; Steve N. Caritis; Margaret Harper; Ronald J. Wapner; Yoram Sorokin; Menachem Miodovnik; Mary J. O'Sullivan; Baha M. Sibai; Oded Langer

doi:10.1016/j.ajog.2006.06.009

The MFMU Cesarean Registry: Impact of time of day on cesarean complications

Jennifer L. Bailit, Mark B. Landon, Elizabeth Thom, Dwight J. Rouse, Catherine Y. Spong, Michael W. Varner, Atef H. Moawad, Steve N. Caritis, Margaret Harper, Ronald J. Wapner, Yoram Sorokin, Menachem Miodovnik, Mary J. O'Sullivan, Baha M. Sibai, Oded Langer

Research output: Contribution to journal › Article › peer-review

43 Scopus citations

Abstract

Objective: Studies suggest that sleep deprivation adversely affects performance. We hypothesized that cesarean delivery complications would be more frequent during the night shift (11 pm-7 am), and evaluated morbidities by delivery shift. Study design: Eighteen thousand nine hundred and thirty-nine term women undergoing an unscheduled cesarean delivery in 13 centers from 1999 to 2000 within a prospective observational study were included. Maternal/neonatal morbidities and time from decision to cesarean delivery were evaluated by time of delivery (7 am-3 pm, 3 pm-11 pm, 11 pm-7 am). A composite of maternal morbidities was evaluated by logistic regression controlling for potentially confounding factors. Results: Controlling for age, race, insurance, cardiac disease, preeclampsia, diabetes, previous incision type, and prenatal care, shift of delivery had no impact on maternal morbidity (11 pm-7 am OR 0.9 [95% CI 0.81-1.0]). NICU admissions were slightly increased at night but neonatal complications were not. Conclusion: Maternal and neonatal complications of cesarean delivery do not increase with delivery during the night shift.

Original language	English (US)
Pages (from-to)	1132-1137
Number of pages	6
Journal	American journal of obstetrics and gynecology
Volume	195
Issue number	4
DOIs	https://doi.org/10.1016/j.ajog.2006.06.009
State	Published - Oct 2006
Externally published	Yes

Keywords

Cesarean delivery
Maternal morbidity
Neonatal morbidity
Work shift

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2006.06.009

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Bailit, J. L., Landon, M. B., Thom, E., Rouse, D. J., Spong, C. Y., Varner, M. W., Moawad, A. H., Caritis, S. N., Harper, M., Wapner, R. J., Sorokin, Y., Miodovnik, M., O'Sullivan, M. J., Sibai, B. M., & Langer, O. (2006). The MFMU Cesarean Registry: Impact of time of day on cesarean complications. American journal of obstetrics and gynecology, 195(4), 1132-1137. https://doi.org/10.1016/j.ajog.2006.06.009

Bailit, JL, Landon, MB, Thom, E, Rouse, DJ, Spong, CY, Varner, MW, Moawad, AH, Caritis, SN, Harper, M, Wapner, RJ, Sorokin, Y, Miodovnik, M, O'Sullivan, MJ, Sibai, BM & Langer, O 2006, 'The MFMU Cesarean Registry: Impact of time of day on cesarean complications', American journal of obstetrics and gynecology, vol. 195, no. 4, pp. 1132-1137. https://doi.org/10.1016/j.ajog.2006.06.009

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title = "The MFMU Cesarean Registry: Impact of time of day on cesarean complications",

abstract = "Objective: Studies suggest that sleep deprivation adversely affects performance. We hypothesized that cesarean delivery complications would be more frequent during the night shift (11 pm-7 am), and evaluated morbidities by delivery shift. Study design: Eighteen thousand nine hundred and thirty-nine term women undergoing an unscheduled cesarean delivery in 13 centers from 1999 to 2000 within a prospective observational study were included. Maternal/neonatal morbidities and time from decision to cesarean delivery were evaluated by time of delivery (7 am-3 pm, 3 pm-11 pm, 11 pm-7 am). A composite of maternal morbidities was evaluated by logistic regression controlling for potentially confounding factors. Results: Controlling for age, race, insurance, cardiac disease, preeclampsia, diabetes, previous incision type, and prenatal care, shift of delivery had no impact on maternal morbidity (11 pm-7 am OR 0.9 [95% CI 0.81-1.0]). NICU admissions were slightly increased at night but neonatal complications were not. Conclusion: Maternal and neonatal complications of cesarean delivery do not increase with delivery during the night shift.",

keywords = "Cesarean delivery, Maternal morbidity, Neonatal morbidity, Work shift",

author = "Bailit, {Jennifer L.} and Landon, {Mark B.} and Elizabeth Thom and Rouse, {Dwight J.} and Spong, {Catherine Y.} and Varner, {Michael W.} and Moawad, {Atef H.} and Caritis, {Steve N.} and Margaret Harper and Wapner, {Ronald J.} and Yoram Sorokin and Menachem Miodovnik and O'Sullivan, {Mary J.} and Sibai, {Baha M.} and Oded Langer",

note = "Funding Information: Supported by grants from the National Institute of Child Health and Human Development (HD21410, HD21414, HD27860, HD27861, HD27869, HD27905, HD27915, HD27917, HD34116, HD34122, HD34136, HD34208, HD34210, and HD36801). Copyright: Copyright 2008 Elsevier B.V., All rights reserved.",

year = "2006",

month = oct,

doi = "10.1016/j.ajog.2006.06.009",

language = "English (US)",

volume = "195",

pages = "1132--1137",

journal = "American journal of obstetrics and gynecology",

issn = "0002-9378",

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T1 - The MFMU Cesarean Registry

T2 - Impact of time of day on cesarean complications

AU - Bailit, Jennifer L.

AU - Landon, Mark B.

AU - Thom, Elizabeth

AU - Rouse, Dwight J.

AU - Spong, Catherine Y.

AU - Varner, Michael W.

AU - Moawad, Atef H.

AU - Caritis, Steve N.

AU - Harper, Margaret

AU - Wapner, Ronald J.

AU - Sorokin, Yoram

AU - Miodovnik, Menachem

AU - O'Sullivan, Mary J.

AU - Sibai, Baha M.

AU - Langer, Oded

N1 - Funding Information: Supported by grants from the National Institute of Child Health and Human Development (HD21410, HD21414, HD27860, HD27861, HD27869, HD27905, HD27915, HD27917, HD34116, HD34122, HD34136, HD34208, HD34210, and HD36801). Copyright: Copyright 2008 Elsevier B.V., All rights reserved.

PY - 2006/10

Y1 - 2006/10

N2 - Objective: Studies suggest that sleep deprivation adversely affects performance. We hypothesized that cesarean delivery complications would be more frequent during the night shift (11 pm-7 am), and evaluated morbidities by delivery shift. Study design: Eighteen thousand nine hundred and thirty-nine term women undergoing an unscheduled cesarean delivery in 13 centers from 1999 to 2000 within a prospective observational study were included. Maternal/neonatal morbidities and time from decision to cesarean delivery were evaluated by time of delivery (7 am-3 pm, 3 pm-11 pm, 11 pm-7 am). A composite of maternal morbidities was evaluated by logistic regression controlling for potentially confounding factors. Results: Controlling for age, race, insurance, cardiac disease, preeclampsia, diabetes, previous incision type, and prenatal care, shift of delivery had no impact on maternal morbidity (11 pm-7 am OR 0.9 [95% CI 0.81-1.0]). NICU admissions were slightly increased at night but neonatal complications were not. Conclusion: Maternal and neonatal complications of cesarean delivery do not increase with delivery during the night shift.

AB - Objective: Studies suggest that sleep deprivation adversely affects performance. We hypothesized that cesarean delivery complications would be more frequent during the night shift (11 pm-7 am), and evaluated morbidities by delivery shift. Study design: Eighteen thousand nine hundred and thirty-nine term women undergoing an unscheduled cesarean delivery in 13 centers from 1999 to 2000 within a prospective observational study were included. Maternal/neonatal morbidities and time from decision to cesarean delivery were evaluated by time of delivery (7 am-3 pm, 3 pm-11 pm, 11 pm-7 am). A composite of maternal morbidities was evaluated by logistic regression controlling for potentially confounding factors. Results: Controlling for age, race, insurance, cardiac disease, preeclampsia, diabetes, previous incision type, and prenatal care, shift of delivery had no impact on maternal morbidity (11 pm-7 am OR 0.9 [95% CI 0.81-1.0]). NICU admissions were slightly increased at night but neonatal complications were not. Conclusion: Maternal and neonatal complications of cesarean delivery do not increase with delivery during the night shift.

KW - Cesarean delivery

KW - Maternal morbidity

KW - Neonatal morbidity

KW - Work shift

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JF - American journal of obstetrics and gynecology

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ER -

The MFMU Cesarean Registry: Impact of time of day on cesarean complications

Abstract

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