Cesarean Surgical Time
The top priority in any cesarean delivery is to safely bring the baby into the world with minimal injury to the mother. So why does surgical time matter? Time always matters in surgery. A longer surgery means more anesthesia, greater risk of getting an infection, and more bleeding, all things that the doctors and nurses are working hard to avoid.
In cesarean delivery, time can be critical, depending on the reason for the cesarean. If the doctors suspect the baby is having difficulty getting oxygen, they may be performing a cesarean delivery so that they can treat the baby. In that case, time becomes paramount to the baby's safety. Even in routine cesarean deliveries, bleeding, risk of infection, and duration of anesthesia are important to the safety of the mother. And all are tied to surgical time.
So how long does a cesarean delivery take? A cesarean delivery can take anywhere from 20 minutes to more than an hour. The duration of surgery depends on a number of factors, ranging from the type of hospital to surgical technique to whether the mother has had adhesions from a previous cesarean delivery. For the sake of discussion, let's consider an uncomplicated cesarean delivery that takes 30 minutes, from first incision to skin closure. That may not seem like a long time, but when you consider that the delivery itself takes about two minutes, and the other 28 minutes are opening and closing the wounds, you'll see that we do a lot of opening and closing for a two-minute procedure.
The figure above is a breakdown of how long it takes to do all that needs to be done during a typical 30 minute cesarean delivery. About one fourth of the time (eight minutes) is taken up in closing the uterus. This time period can be the most critical for the mother, because this is the time that the uterus is open and bleeding, and this is the time that bacteria can spread from the uterus.
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