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ISSN: 2327-5146

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Research Article

Residents Experience and Blood Loss in Primary Cesarean Sections

Marroquin GA*, Tudorica N, Hecht R and Mikhail M
Department of Obstetrics and Gynecology, Bronx Lebanon Hospital Center, Bronx, NY, USA
Corresponding Author : Dr. Marroquin Guillermo
Department of Obstetrics and Gynecology
Bronx Lebanon Hospital Center
1650 Selwyn Avenue Apt 18D, Bronx, NY 10457, USA
Tel: 001 347 780 6100
E-mail: [email protected]
Received October 17, 2013; Accepted December 10, 2013; Published December 20, 2013
Citation: Marroquin GA, Tudorica N, Hecht R, Mikhail M (2013) Residents Experience and Blood Loss in Primary Cesarean Sections. Gen Med (Los Angel) 2:125. doi: 10.4172/2327-5146.1000125
Copyright: © 2013 Marroquin GA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Objective: Compare the Estimated Blood Loss (EBL) between residents performing primary cesarean sections based on their level of training and their associated variables, including the combination of surgeon and assistant experience, demographic variables and different techniques in the procedure. Methods: Retrospective analysis of patients who had a primary cesarean section performed by residents from the Obstetrics and Gynecology Residency Program that attended the Labor and Delivery between August 2011 through December of 2012. 278 patients were included. Demographic and pertinent data was extracted from patient’s electronic medical record. The surgeons and assistants were categorized depending on their level of training in the residency program (Post Graduate Year [PGY]1,2,3,4). Results: 278 patients were included in the study, of them 133 were considered emergent cesarean sections mean cEBL of 832 ± 490, 74 urgent with 829 ± 513 cc, 67 scheduled with 884±167cc and 4 elective with 825 ± 52cc with with an observed Estimated Blood Loss (oEBL) of 873cc ± 182, change in hematocrit of 5.14& ± 3.13 and a calculated (cEBL) of 832.5 ± 490 cc. time in minutes was different between 1 and 2 layers closure (57.4 vs. 67.7 minutes) and their cEBL 734 vs. 662cc. Conclusions: There is a difference in cEBL and change in hematocrit in primary cesarean sections done by residents based on their surgical experience. Time, cEBL, change in Hto is influenced by the years of training of the surgical team. Higher BMI was associated with more surgical time and change in Hto. 2 layer closures were found to consume more surgical time.

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