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Share Caesarean sections increase between 11pm. and 4 o'clock in the morning (and it could be due to the fatigue of the doctors)

Laura Guerrero

According to a new study from the Pompeu Fabra University, the time at which we put in labor could influence in the end our child ends up being born by caesarean section.

After studying how was the birth of 6, 163 babies in four Spanish public hospitals, it has been concluded that, between 11 at night and 4 in the morning, the probability of having an unplanned cesarean section increases by 6.3 points and could due to fatigue of doctors, who have to endure work shifts too long.

Work shifts too long

After comparing the data, collected between 2014 and 2016, the researchers came to the conclusion that although the mothers who give birth throughout the day have similar characteristics, the non-scheduled caesarean sections increase at night.

According to the authors of the study, maternal-fetal health is not the only factor that influences when deciding on this intervention. The structure of shifts in hospitals (with 24-hour guards) and the accumulated fatigue could cause that, in front of doubtful cases and that might end in a caesarean section later, it is decided to do the intervention before, during these hours:

"Our results suggest that physicians may be less tolerant of the natural progression of the task, which is time-consuming and time-consuming, incentives related to free time are very important, and physicians are more predisposed to perform procedures that accelerate Therefore, it would be necessary to review the incentives created by the shift structure and the long working hours of doctors in public hospitals, in order to reduce avoidable interventions ".

Apgar tests slightly lower

The study has also served to compare the results obtained by babies born vaginally compared to those of Caesarean in the Apgar Test: "Our research suggests that cesareans not medically indicated can have a negative and significant impact on the health of the newborn, as measured by the Apgar test scores, but the effect is not serious enough to translate into more extreme results, "the authors say.

Children (healthy) born by caesarean section obtain an average of one point less than those born vaginally in the Apgar test, performed in minutes 1 and 5 after birth (with notes of 8.8 and 8.7 respectively). Between 7 and 10 points it is considered that the baby is in good condition after birth.

Less cesareans, more savings

The study ends up offering data on important economic savings that would mean reducing the number of avoidable caesarean sections in public hospitals. If we take into account that the average cost of a cesarean section for the public health system is 1, 692.97 euros higher than a vaginal delivery, by eliminating those avoidable caesarean sections, the hospitals in the sample could achieve a cost reduction of around 675, 000 euros .

"These figures, applied to all the autonomous communities would mean a saving of more than 47 million euros for the state public health system, a figure that, taking into account the average salary of a specialist doctor (45, 970 euros) and the total number of public hospitals in Spain (453), would allow each hospital to hire more than two additional doctors.This fact would help, at the same time, to alleviate the need for long hours of work ".

And here they focus on the economy because the study has been done by a specialized research center on these issues, but reducing the rate of avoidable caesarean sections should be a priority because they have risks for both the mother and the baby and affect future pregnancies.

The goal should be to reduce the cesarean rate to 10-15% of deliveries, as recommended by the World Health Organization and that circumstances such as being born at night or the fatigue of doctors do not influence the birth of our child.

Via Pompeu Fabra University

In Babies and more More births are induced and more caesarean sections are scheduled to prevent them from falling on weekends. Only 1 in 10 women will have to give birth by caesarean section

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