Decision-To-Delivery Interval in Obese Patients Undergoing Emergent Cesarean Birth

Objective To examine how increased body mass index (BMI) class impacts time to delivery interval in the setting of emergent cesarean birth. Study Design A cohort study all births at our institution from 2012-2018. Three comparison groups were divided by BMI category: 1. Non obese; 30 kg/cm2 (n=55) 2. Class I obesity; 31-34 (n=75) 3. II and III Obesity; =35 (n=51) Primary outcomes decision-to-delivery skin-incision-to-delivery interval. Results The mean (minutes +/- standard deviation (SD)) arrival OR was 25.1 ± 9.7, 26.1 10.6 30.2 ±12.2, highlighting that as patient increased, (beta coefficient 95% CI 5.15 (1.01,9,30) p=0.037). SD) skin incision 8.7 5.6, 9.0 6.4 11.7 ±7.0, again showing a positive correlation between increasing 3.02 (0.65,5.40) p=0.025). Conclusion This describes challenge urgent obese patients, manifested longer skin-to-delivery intervals increases. These findings support prior literature describe transport surgical times patients undergoing