Impact of scheduled cesarean sections on non-working days on maternal and neonatal outcomes: a retrospective cohort study based on propensity score matching - Report - MDSpire
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Impact of scheduled cesarean sections on non-working days on maternal and neonatal outcomes: a retrospective cohort study based on propensity score matching
Clinical Report: Effects of Timing of Scheduled Cesarean Deliveries
Overview
This study evaluates maternal and neonatal outcomes of scheduled cesarean sections performed on working versus non-working days. No significant differences in short-term outcomes were found between the two groups.
Background
Cesarean sections are essential for managing high-risk pregnancies. Previous studies have suggested that the timing of cesarean deliveries may influence outcomes, particularly the so-called 'weekend effect.' However, high-quality evidence specifically addressing scheduled cesarean sections is limited.
Data Highlights
Outcome
Working Days
Non-Working Days
Postoperative Fever
No significant difference
No significant difference
Neonatal Transfer
No significant difference
No significant difference
Surgical Blood Loss
No significant difference
No significant difference
Postoperative Hospital Stay
No significant difference
No significant difference
Antibiotic Duration
No significant difference
No significant difference
Umbilical Cord pH
No significant difference
No significant difference
Operative Duration
Longer
Shorter (β = −3.82, p = 0.029)
Key Findings
No significant differences in postoperative fever, neonatal transfer, surgical blood loss, postoperative hospital stay, or antibiotic duration between working and non-working days.
Umbilical cord blood gas parameters showed no significant differences between the two groups.
Surgery on non-working days was associated with a shorter operative duration.
Propensity score matching effectively balanced confounding factors in the analysis.
Study conducted in a single-center setting with standardized staffing configurations.
Clinical Implications
The findings indicate that the timing of scheduled cesarean sections does not significantly impact short-term maternal and neonatal outcomes.
Conclusion
This study indicates that scheduled cesarean sections can be performed on both working and non-working days without significant differences in short-term outcomes.
