Decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospital
Background: The Royal college of obstetrics and gynaecology and the American College of Obstetrics and Gynecology recommend a maximum interval of 30 minutes between the decision to perform an emergency caesarean section and delivery of the baby (DDI), when there is an immediate life threatening con...
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| Format: | Article |
| Language: | English |
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Nigerian Medical Association, Akwa Ibom State Branch
2020-08-01
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| Series: | Ibom Medical Journal |
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| Online Access: | https://ibommedicaljournal.org/index.php/imjhome/article/view/192 |
| _version_ | 1797271917008257024 |
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| author | Attah RA Hadiza G |
| author_facet | Attah RA Hadiza G |
| author_sort | Attah RA |
| collection | DOAJ |
| description |
Background: The Royal college of obstetrics and gynaecology and the American College of Obstetrics and Gynecology recommend a maximum interval of 30 minutes between the decision to perform an emergency caesarean section and delivery of the baby (DDI), when there is an immediate life threatening condition to the mother or baby. So far, this has been a herculean task in the majority of the developing nations.
Objectives: To determine the decision-to-delivery interval and perinatal outcome for category one caesarean section in Aminu Kano Teaching Hospital, Kano.
Methods: A One Year Retrospective study of category one caesarean section performed in Aminu Kano Teaching Hospital between 1st January 2018 and 31st December 2018.
Results: The mean DDI was 114.4 minutes. Only 6.2% were delivered within the recommended 30 minutes DDI. There was no significant association between the DDI and adverse perinatal outcomes but a significant association was found between the indication for the crash caesarean section and adverse perinatal outcome. The major determinants of prolonged DDI were maternity unit delays, anaesthetist delay, patient refusal to sign consent and busy operating rooms.
Conclusion: The mean DDI was longer than the recommended DDI of 30 minutes. Although this had no impact on perinatal outcome in this study. However, the perinatal outcome largely depended on the indication for the caesarean section.
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| first_indexed | 2024-03-07T14:17:04Z |
| format | Article |
| id | doaj.art-fa76ddd45dd24a788ce8bf074101793f |
| institution | Directory Open Access Journal |
| issn | 1597-7188 2735-9964 |
| language | English |
| last_indexed | 2024-03-07T14:17:04Z |
| publishDate | 2020-08-01 |
| publisher | Nigerian Medical Association, Akwa Ibom State Branch |
| record_format | Article |
| series | Ibom Medical Journal |
| spelling | doaj.art-fa76ddd45dd24a788ce8bf074101793f2024-03-06T12:03:50ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642020-08-0113210.61386/imj.v13i2.192Decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospitalAttah RAHadiza G Background: The Royal college of obstetrics and gynaecology and the American College of Obstetrics and Gynecology recommend a maximum interval of 30 minutes between the decision to perform an emergency caesarean section and delivery of the baby (DDI), when there is an immediate life threatening condition to the mother or baby. So far, this has been a herculean task in the majority of the developing nations. Objectives: To determine the decision-to-delivery interval and perinatal outcome for category one caesarean section in Aminu Kano Teaching Hospital, Kano. Methods: A One Year Retrospective study of category one caesarean section performed in Aminu Kano Teaching Hospital between 1st January 2018 and 31st December 2018. Results: The mean DDI was 114.4 minutes. Only 6.2% were delivered within the recommended 30 minutes DDI. There was no significant association between the DDI and adverse perinatal outcomes but a significant association was found between the indication for the crash caesarean section and adverse perinatal outcome. The major determinants of prolonged DDI were maternity unit delays, anaesthetist delay, patient refusal to sign consent and busy operating rooms. Conclusion: The mean DDI was longer than the recommended DDI of 30 minutes. Although this had no impact on perinatal outcome in this study. However, the perinatal outcome largely depended on the indication for the caesarean section. https://ibommedicaljournal.org/index.php/imjhome/article/view/192Decision-to-delivery intervalcategory one caesarean sectionperinatal outcome |
| spellingShingle | Attah RA Hadiza G Decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospital Ibom Medical Journal Decision-to-delivery interval category one caesarean section perinatal outcome |
| title | Decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospital |
| title_full | Decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospital |
| title_fullStr | Decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospital |
| title_full_unstemmed | Decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospital |
| title_short | Decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospital |
| title_sort | decision to delivery interval and perinatal outcome for category one caesarean section in a tertiary hospital |
| topic | Decision-to-delivery interval category one caesarean section perinatal outcome |
| url | https://ibommedicaljournal.org/index.php/imjhome/article/view/192 |
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