King Jeremy, Geske Jenenne, Sricharoen Chanont, Khandalavala Birgit
University of Nebraska Medical Center, Omaha, NE, USA.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251320175. doi: 10.1177/21501319251320175.
Cesarean delivery surgical quality indicators and outcomes support the surgical skills of family medicine physicians. These data have educational and clinical implications yet are largely unexplored. Our study updated cesarean surgical times, incision-to-delivery time, and neonatal Apgar scores from a midwestern family medicine residency program.
All cesarean deliveries performed by family medicine faculty from January 2012 to March 2021 were reviewed. Total surgical time, incision-to-delivery time, Apgar scores at 1 and 5 min, and maternal demographic information were recorded.
320 cesarean deliveries were reviewed. The average total surgical procedure time was 64.3 min (SD = 17.9) and incision-to-delivery time was 9.5 min (SD = 4.9). The average 1-min Apgar score was 7.5 (SD = 1.8) and the average 5-min Apgar score was 8.7 (SD = 1.0). There were no significant correlations between 1- and 5-min Apgar scores and procedure times.
Cesarean delivery quality indicators from family medicine faculty are updated and appear similar to those reported previously in studies that did not include the presence of learners. This EMR-based study provides baseline information for future surgical cesarean delivery quality improvement and outcomes research.
剖宫产手术质量指标和结果可反映家庭医学医生的手术技能。这些数据具有教育和临床意义，但在很大程度上尚未得到充分探索。我们的研究更新了中西部一个家庭医学住院医师培训项目的剖宫产手术时间、切开至分娩时间和新生儿阿氏评分。
回顾了2012年1月至2021年3月家庭医学教员进行的所有剖宫产手术。记录了总手术时间、切开至分娩时间、1分钟和5分钟时的阿氏评分以及产妇人口统计学信息。
共回顾了320例剖宫产手术。平均总手术时间为64.3分钟（标准差=17.9），切开至分娩时间为9.5分钟（标准差=4.9）。平均1分钟阿氏评分为7.5（标准差=1.8），平均5分钟阿氏评分为8.7（标准差=1.0）。1分钟和5分钟阿氏评分与手术时间之间无显著相关性。
更新了家庭医学教员的剖宫产质量指标，其结果与之前未纳入学习者参与情况的研究报告相似。这项基于电子病历的研究为未来剖宫产手术质量改进和结果研究提供了基线信息。
