Caesarean Section for Fetal Distress, the Interval From Decision to Delivery, and the Relative Risk of Poor Neonatal Condition

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Abstract
Summary There were 9387 deliveries within the study period, of which 104 (1·1 per cent) were caesarean sections for fetal distress in labour, with a singleton cephalic presentation at 37 or more weeks gestational age. Caesarean section for fetal distress was associated with a significant increase in the incidence of poor neonatal condition as defined by low Apgar scores (PPP<0·05) between the interval between decision to deliver and operative delivery, and admission to the special care unit. The relative risk doubled between a 10 and a 35 minute interval. No correlation was found between the decision delivery interval and 1 or 5 minute Apgar scores, or cord arterial and venous acid-base results. A short interval from decision to delivery may be important if optimal neonatal condition is to be achieved.

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