Obstetric anesthesia

Induction-to-delivery time interval under general anesthesia and neonatal intensive care unit admissions: a single-center retrospective cross-sectional study in planned cesarean deliveries (2014–2024)

Int J Obstet AnesthPublished Retrospective cross-sectional study

Authors' conclusion

Our findings do not support a clinically meaningful association between ID interval and NICU admission in this cohort of planned cesarean deliveries performed under general anesthesia.

Study context

Population
Women with planned cesarean delivery under GA (propofol, remifentanil, NMBA, supraglottic device), gestational age ≥ 35 weeks, singleton, birth weight ≥ 1800 g, January 2014–September 2024
Participants
1,204 women · 204 neonatal intensive care unit (NICU) admissions
Exposure
Longer vs shorter induction-to-delivery interval under GA
Outcome
NICU admission
Methodological detailssingle-centre, multivariate logistic regression, subgroup analyses, 1,271 eligible; 67 excluded (stillbirth, uncertain fetal status, multiple pregnancies, incomplete data)
  • Single-centre
  • Multivariate logistic regression
  • Subgroup analyses
  • 1,271 eligible; 67 excluded (stillbirth, uncertain fetal status, multiple pregnancies, incomplete data)

Main finding

As reported in the abstract

  • No statistically significant association of induction-to-delivery (ID) time with NICU admission (multivariate logistic regression)

Observational data: associations, not effects.

Further findings

NICU admission by subgroup (neonatal sex, gestational age, birth weight, multiparity, placenta previa, thrombocytopenia)

No statistically significant associations between ID time interval and NICU admission in any subgroup

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Induction-to-delivery time interval under general anesthesia and neonatal intensive care unit admissions: a single-center retrospective cross-sectional study in planned cesarean deliveries (2014–2024). Int J Obstet Anesth. Published 6 October 2025. doi:10.1016/j.ijoa.2025.104791

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