Department of Obstetrics and Gynecology, University Hospital of Rennes, France; LTSI - INSERM UMR 1099, University of Rennes 1, F35000 Rennes, France; Department of Computer Science, Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, United Kingdom.
Department of Obstetrics and Gynecology, University Hospital of Rennes, France.
Eur J Obstet Gynecol Reprod Biol. 2023 Sep;288:1-6. doi: 10.1016/j.ejogrb.2023.06.029. Epub 2023 Jun 30.
Environmental factors in the operating room during cesarean sections are likely important for both women/birthing people and their babies but there is currently a lack of rigorous literature about their evaluation. The principal aim of this study was to systematically examine studies published on the physical environment in the obstetrical operating room during c-sections and its impact on mother and neonate outcomes. The secondary objective was to identify the sensors used to investigate the operating room environment during cesarean sections.
In this literature review, we searched MEDLINE a database using the following keywords: Cesarean section AND (operating room environment OR Noise OR Music OR Video recording OR Light level OR Gentle OR Temperature OR Motion Data). Eligible studies had to be published in English or French within the past 10 years and had to investigate the operating room environment during cesarean sections in women. For each study we reported which aspects of the physical environment were investigated in the OR (i.e., noise, music, movement, light or temperature) and the involved sensors.
Of a total of 105 studies screened, we selected 8 articles from title and abstract in PubMed. This small number shows that the field is poorly investigated. The most evaluated environment factors to date are operating room noise and temperature, and the presence of music. Few studies used advanced sensors in the operating room to evaluate environmental factors in a more nuanced and complete way. Two studies concern the sound level, four concern music, one concerns temperature and one analyzed the number of entrances/exits into the OR. No study analyzed light level or more fine-grained movement data.
Main findings include increase of noise and motion at specific time-points, for example during delivery or anaesthesia; the positive impact of music on parents and staff alike; and that a warmer theatre is better for babies but more uncomfortable for surgeons.
剖宫产手术过程中的手术室环境因素对产妇和婴儿都很重要，但目前关于这些环境因素的评估的文献还不够严谨。本研究的主要目的是系统地研究剖宫产手术中妇产科手术室的物理环境及其对母婴结局的影响。次要目的是确定用于调查剖宫产手术中手术室环境的传感器。
在本次文献回顾中，我们使用以下关键字在 MEDLINE 数据库中进行了搜索：剖宫产术 AND（手术室环境 OR 噪声 OR 音乐 OR 录像 OR 光照水平 OR 轻柔 OR 温度 OR 运动数据）。合格的研究必须在过去 10 年内以英语或法语发表，并且必须调查妇女剖宫产手术中的手术室环境。对于每项研究，我们报告了在手术室中调查了物理环境的哪些方面（即噪声、音乐、运动、光照或温度）以及涉及的传感器。
在总共筛选出的 105 项研究中，我们从 PubMed 的标题和摘要中选择了 8 篇文章。这一数字表明该领域的研究很少。迄今为止，评价最多的环境因素是手术室噪声和温度，以及音乐的存在。很少有研究在手术室中使用先进的传感器以更细致和完整的方式评估环境因素。两项研究涉及声级，四项研究涉及音乐，一项研究涉及温度，一项研究分析了进入手术室的次数。没有研究分析光照水平或更细微的运动数据。
主要发现包括在特定时间点，例如在分娩或麻醉期间，噪声和运动增加；音乐对父母和工作人员都有积极影响；手术室温度较高对婴儿更好，但对手术医生而言更不舒服。
