Impact of scheduled cesarean sections on non-working days on maternal and neonatal outcomes: a retrospective cohort study based on propensity score matching - Scorecard - MDSpire

Impact of scheduled cesarean sections on non-working days on maternal and neonatal outcomes: a retrospective cohort study based on propensity score matching

  • By

  • Ting Fang Tan

  • Qing Fang Wei

  • Jian Chun Huang

  • Kai Sun Zhao

  • July 14, 2026

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Clinical Scorecard: Effects of Timing of Scheduled Cesarean Deliveries on Weekdays Versus Weekends on Maternal and Neonatal Health: A Retrospective Cohort Analysis Utilizing Propensity Score Matching

At a Glance

CategoryDetail
ConditionScheduled Cesarean Sections
Key MechanismsComparison of maternal and neonatal outcomes based on timing of surgery (working vs. non-working days)
Target PopulationWomen with term singleton pregnancies undergoing scheduled cesarean sections
Care SettingSingle-center retrospective cohort study

Key Highlights

  • No significant differences in maternal and neonatal outcomes between working and non-working days
  • Surgery on non-working days associated with shorter operative duration
  • Study utilized propensity score matching to control for confounding factors

Guideline-Based Recommendations

Diagnosis

  • Scheduled cesarean sections for term singleton pregnancies

Management

  • Consider scheduling cesarean sections based on maternal conditions and hospital resources

Monitoring & Follow-up

  • Monitor postoperative complications and neonatal transfer requirements

Risks

  • Potential differences in staffing and resources on non-working days

Patient & Prescribing Data

Women with singleton pregnancies at term (≥ 37 weeks)

Scheduled cesarean sections should be planned considering potential staffing differences

Clinical Best Practices

  • Utilize propensity score matching to control for confounding in observational studies
  • Standardize staffing configurations to minimize variability in care

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