Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand
ObjectiveTo determine the decision-to-delivery interval (DDI) in emergency cesarean delivery and associated factors.MethodsA 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 preg...
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| Format: | Article |
| Language: | English |
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Korean Society of Obstetrics and Gynecology
2018-01-01
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| Series: | Obstetrics & Gynecology Science |
| Subjects: | |
| Online Access: | http://ogscience.org/upload/pdf/ogs-61-48.pdf |
| _version_ | 1828767347751518208 |
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| author | Khemanat Khemworapong Nalat Sompagdee Dittakarn Boriboonhirunsarn |
| author_facet | Khemanat Khemworapong Nalat Sompagdee Dittakarn Boriboonhirunsarn |
| author_sort | Khemanat Khemworapong |
| collection | DOAJ |
| description | ObjectiveTo determine the decision-to-delivery interval (DDI) in emergency cesarean delivery and associated factors.MethodsA 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.ResultsMean 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.ConclusionOnly 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. |
| first_indexed | 2024-12-11T07:25:32Z |
| format | Article |
| id | doaj.art-5f7df0bfbb474ea2afa7174df23ac57d |
| institution | Directory Open Access Journal |
| issn | 2287-8572 2287-8580 |
| language | English |
| last_indexed | 2024-12-11T07:25:32Z |
| publishDate | 2018-01-01 |
| publisher | Korean Society of Obstetrics and Gynecology |
| record_format | Article |
| series | Obstetrics & Gynecology Science |
| spelling | doaj.art-5f7df0bfbb474ea2afa7174df23ac57d2022-12-22T01:15:59ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802018-01-01611485510.5468/ogs.2018.61.1.48511Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in ThailandKhemanat Khemworapong0Nalat Sompagdee1Dittakarn Boriboonhirunsarn2Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, .ThailandDepartment of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, .ThailandDepartment of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, .ThailandObjectiveTo determine the decision-to-delivery interval (DDI) in emergency cesarean delivery and associated factors.MethodsA 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.ResultsMean 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.ConclusionOnly 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.http://ogscience.org/upload/pdf/ogs-61-48.pdfdecision makingcesarean sectionemergencies |
| spellingShingle | Khemanat Khemworapong Nalat Sompagdee Dittakarn Boriboonhirunsarn Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand Obstetrics & Gynecology Science decision making cesarean section emergencies |
| title | Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand |
| title_full | Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand |
| title_fullStr | Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand |
| title_full_unstemmed | Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand |
| title_short | Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand |
| title_sort | decision to delivery interval in emergency cesarean delivery in tertiary care hospital in thailand |
| topic | decision making cesarean section emergencies |
| url | http://ogscience.org/upload/pdf/ogs-61-48.pdf |
| work_keys_str_mv | AT khemanatkhemworapong decisiontodeliveryintervalinemergencycesareandeliveryintertiarycarehospitalinthailand AT nalatsompagdee decisiontodeliveryintervalinemergencycesareandeliveryintertiarycarehospitalinthailand AT dittakarnboriboonhirunsarn decisiontodeliveryintervalinemergencycesareandeliveryintertiarycarehospitalinthailand |