{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T23:25:06Z","timestamp":1781738706184,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,1,20]],"date-time":"2013-01-20T00:00:00Z","timestamp":1358640000000},"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":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate factors influencing skin incision\u2010to\u2010delivery time (including sub\u2010divisions thereof) and the effect of these surgical intervals on immediate neonatal outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective cohort analysis was conducted of all women undergoing cesarean delivery at Tygerberg Hospital, Cape Town, South Africa, from May 24 to November 2, 2010. Three surgical intervals were evaluated: skin incision to myometrium, myometrium to delivery, and skin incision to delivery. Neonatal outcome was assessed by the 5\u2010minute Apgar score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1120 cesarean deliveries recorded during the study period, 77.2% were emergency procedures, which were performed more quickly at all surgical planes (<jats:italic>P<\/jats:italic> &lt; 0.01). Adhesions in the surgical field were present in 7.4% of all primary procedures versus 67.7% of all third procedures (<jats:italic>P<\/jats:italic> &lt; 0.001). The skin incision\u2010to\u2010delivery time was significantly extended among repeat procedures (<jats:italic>P<\/jats:italic> &lt; 0.001) and increased progressively with degree of obesity (<jats:italic>P<\/jats:italic> &lt; 0.001). Although the 3 surgical intervals were calculated individually, none of the median values correlated with a 5\u2010minute Apgar score below 7 for emergency deliveries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Repeat procedures, adhesions, and obesity prolonged the time taken for cesarean delivery. Nevertheless, the effect of these factors on the 5\u2010minute Apgar score was minimal.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.11.008","type":"journal-article","created":{"date-parts":[[2013,1,20]],"date-time":"2013-01-20T15:01:56Z","timestamp":1358694116000},"page":"82-85","source":"Crossref","is-referenced-by-count":43,"title":["Time between skin incision and delivery during cesarean"],"prefix":"10.1002","volume":"121","author":[{"given":"Jana N.","family":"Rossouw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Harvey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,20]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"CullinanK.Health services in South Africa: A basic introduction.www.health\u2010e.org.za[Published January 2006]"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.04.039"},{"issue":"7","key":"e_1_2_6_4_2","first-page":"1","article-title":"Births: Final data for 2006","volume":"57","author":"Martin J.A.","year":"2009","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0733-1"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.06.012"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.06.088"},{"issue":"10","key":"e_1_2_6_8_2","first-page":"317","article-title":"Fetal heart monitoring during general anaesthesia for caesarean section","volume":"68","author":"Theron G.B.","year":"1985","journal-title":"S Afr Med J (\u201cGeneeskunde\u201d)"},{"issue":"3","key":"e_1_2_6_9_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_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.07.022"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(94)90218-6"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.5670"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.2014"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.02.020"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/20786204.2009.10873805"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.12.017"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5756.256"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(94)90102-3"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729212006650?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729212006650?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2012.11.008","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2012.11.008","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2012.11.008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T23:16:46Z","timestamp":1696547806000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2012.11.008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,20]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1016\/j.ijgo.2012.11.008"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2012.11.008","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,20]]}}}