Neuraxial Anesthesia-Delivery time interval

Traditionally one of the more critically identified time frames after spinal anesthesia for Cesarean is the uterine incision to delivery time, and this is confirmed in this study.

After neuraxial anesthesia, uterine hypoperfusion from hypotension and maternal obesity may compromise the fetus. This study shows a direct correlation between increasing delay before delivery and decreasing umbilical artery pH.

“Efforts to minimize predelivery time following spinal placement could reduce the frequency of unanticipated neonatal acidemia.”

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