{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T22:26:09Z","timestamp":1790720769679,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,9,19]],"date-time":"2010-09-19T00:00:00Z","timestamp":1284854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To measure 3 intervals of time\u2014induction of regional anesthesia to delivery (I\u2013D), initial skin incision to delivery (S\u2013D), and uterine incision to delivery (U\u2013D)\u2014in elective cesareans and to evaluate the impact of the duration of these 3 components on short\u2010term neonatal outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed retrospective data on the duration of the components from the computerized database of the obstetrics operation room at the Sheba Medical Center, Tel Aviv, Israel, and from the medical records of term neonates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sufficient data were available in 933 cases. The parameters associated with longer time to delivery at any stage were epidural rather than spinal anesthesia, maternal diabetes, previous cesarean delivery, antihypertensive treatment, higher birth weight (3456 g and 3285 g for U\u2013D interval longer than 2 minutes and U\u2013D interval up to 2 minutes, respectively; <jats:italic>P<\/jats:italic> = 0.02), and male fetus. The duration of the I\u2013D, S\u2013D, and U\u2013D intervals had no significant impact on any of the measured neonatal parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With regard to neonatal wellbeing, obstetricians have a relatively large safety margin in the time taken for inducing regional anesthesia and making the first and uterine incisions.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2010.07.022","type":"journal-article","created":{"date-parts":[[2010,9,21]],"date-time":"2010-09-21T13:07:44Z","timestamp":1285074464000},"page":"224-228","source":"Crossref","is-referenced-by-count":19,"title":["The effect of time intervals on neonatal outcome in elective cesarean delivery at term under regional anesthesia"],"prefix":"10.1002","volume":"111","author":[{"given":"Ayala","family":"Maayan\u2010Metzger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irit","family":"Schushan\u2010Eisen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liat","family":"Todris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abba","family":"Etchin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Kuint","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,9,19]]},"reference":[{"issue":"12","key":"e_1_2_6_2_2","article-title":"Births: Preliminary Data for 2007","volume":"57","author":"Hamilton B.E.","year":"2009","journal-title":"National Vital Statistics Reports"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1999.tb03134.x"},{"issue":"3","key":"e_1_2_6_4_2","first-page":"S58","article-title":"The incidence and risk factors of hypotension and bradycardia associated with spinal anesthesia","volume":"89","author":"Kyokong O.","year":"2006","journal-title":"J Med Assoc Thai"},{"issue":"5","key":"e_1_2_6_5_2","first-page":"S69","article-title":"The effects of epidural analgesia on labor, maternal, and neonatal outcomes: a systematic review","volume":"186","author":"Leighton B.L.","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-200112000-00006"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1996.tb00833.x"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39405.539282.BE"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/54.10.1015"},{"issue":"3","key":"e_1_2_6_10_2","first-page":"331","article-title":"Neonatal effect of prolonged anesthetic induction for cesarean section","volume":"58","author":"Datta S.","year":"1981","journal-title":"Obstet Gynecol"},{"issue":"3","key":"e_1_2_6_11_2","first-page":"125","article-title":"Effect of induction\u2010delivery and uterine\u2010delivery on apgar scoring of the newborn","volume":"37","author":"Kamat S.K.","year":"1991","journal-title":"J Postgrad Med"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-999791"},{"issue":"12","key":"e_1_2_6_13_2","first-page":"1059","article-title":"Neonatal outcome in cesarean section under general anesthesia, related to gestational age, induction\u2010delivery and uterus\u2010delivery intervals","volume":"19","author":"Vatashsky E.","year":"1983","journal-title":"Isr J Med Sci"},{"issue":"1","key":"e_1_2_6_14_2","first-page":"23","article-title":"Incision\u2010to\u2010delivery interval and neonatal wellbeing during cesarean section","volume":"60","author":"Fontanarosa M.","year":"2008","journal-title":"Minerva Ginecol"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(69)80224-6"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.06.072"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38380.674340.E0"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000237116.72011.f3"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00292-5"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2004.tb02990.x"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340601159256"},{"issue":"1","key":"e_1_2_6_22_2","first-page":"10","article-title":"The influence of the mode of anaesthesia in the incidence of neonatal morbidity after an elective caesarean section","volume":"33","author":"Sigalas J.","year":"2006","journal-title":"Clin Exp Obstet Gynecol"}],"container-title":["International Journal of Gynecology &amp; 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