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Personal Protective Equipment during the COVID-19 pandemic and operative time in cesarean section: retrospective cohort study.
Cuerva, Marcos Javier; Carbonell, María; Martín Palumbo, Giovanna; Lopez Magallon, Sara; De La Calle, María; Bartha, José Luis.
  • Cuerva MJ; Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain.
  • Carbonell M; Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain.
  • Martín Palumbo G; Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain.
  • Lopez Magallon S; Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain.
  • De La Calle M; Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain.
  • Bartha JL; Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain.
J Matern Fetal Neonatal Med ; 35(15): 2976-2979, 2022 Aug.
Article in English | MEDLINE | ID: covidwho-1900908
ABSTRACT

INTRODUCTION:

The covid-19 pandemic has meant a change in working protocols, as well as in Personal Protective Equipment (PPE). Obstetricians have had to adapt quickly to these changes without knowing how they affected their clinical practice. The aim of the present study was to evaluate how COVID-19 pandemic and PPE can affect operative time, operating room time, transfer into the operating room to delivery time and skin incision to delivery time in cesarean section.

METHODS:

This is a single-center retrospective cohort study. Women with confirmed or suspected SARS-CoV-2 infection having a cesarean section after March 7th, 2020 during the COVID-19 pandemic were included in the study. For each woman with confirmed or suspected SARS-CoV-2 infection, a woman who had a cesarean section for the same indication during the COVID-19 pandemic and with similar clinical history but not affected by SARS-CoV-2 was included.

RESULTS:

42 cesarean sections were studied. The operating room time was longer in the COVID-19 confirmed or suspected women 90 (73.0 to 110.0) versus 61 (48.0 to 70.5) minutes; p < .001. The transfer into the operating room to delivery time was longer, but not statistically significant, in urgent cesarean sections in COVID-19 confirmed or suspected women 25.5 (17.5 to 31.75) versus 18.0 (10.0 to 26.25) minutes; p = .113.

CONCLUSIONS:

There were no significant differences in the operative time, transfer into the operating room to delivery time and skin incision to delivery time when wearing PPE in cesarean section. The COVID-19 pandemic and the use of PPE resulted in a significant increase in operating room time.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Personal Protective Equipment / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Pregnancy Language: English Journal: J Matern Fetal Neonatal Med Journal subject: Obstetrics / Perinatology Year: 2022 Document Type: Article Affiliation country: 14767058.2020.1793324

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Personal Protective Equipment / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Pregnancy Language: English Journal: J Matern Fetal Neonatal Med Journal subject: Obstetrics / Perinatology Year: 2022 Document Type: Article Affiliation country: 14767058.2020.1793324