Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand
Obstetrics & Gynecology Science
;
: 48-55, 2018.
Article
in English
| WPRIM
| ID: wpr-741730
ABSTRACT
OBJECTIVE:
To determine the decision-to-delivery interval (DDI) in emergency cesarean delivery and associated factors.METHODS:
A total of 431 pregnant women who were indicated for emergency cesarean delivery were included. Clinical information and timing of process after decision until delivery and pregnancy outcomes were evaluated.RESULTS:
Mean age was 30 years, and 59.4% were nulliparous. Mean gestational age at delivery was 37.9 weeks. The decision was made during normal office hour in 33.2%. Median decision-to-operating room interval, decision-to-incision interval, and DDIs were 45, 70, and 82 minutes, respectively. Only 3.5% of patients had DDI ≤30 minutes, while 52.0% had DDI >75 minutes. During after office hours, every time interval was significantly shorter and 4.9% had DDI ≤30 minutes compared to 0.7% in normal office hours (P=0.001). Compared to other indications, time intervals were significantly shorter in those with non-reassuring fetal heart rate (FHR), and DDI ≤30 minutes was achieved in 18.8% vs. 0.8% (P < 0.001). Shortest DDI was observed among those with non-reassuring FHR during after office hours. Neonatal outcomes were comparable between different DDIs.CONCLUSION:
Only 3.5% of emergency cesarean delivery had a DDI ≤30 minutes (median 82 minutes). Significant shorter time intervals were observed in those with non-reassuring FHR during after office hours.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thailand
/
Tertiary Healthcare
/
Heart Rate, Fetal
/
Pregnancy Outcome
/
Cesarean Section
/
Gestational Age
/
Decision Making
/
Pregnant Women
/
Emergencies
Type of study:
Prognostic study
Limits:
Female
/
Humans
/
Pregnancy
Country/Region as subject:
Asia
Language:
English
Journal:
Obstetrics & Gynecology Science
Year:
2018
Type:
Article
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