A Cross Sectional Study to Evaluate Decision to Delivery Interval in Emergency Caeserian Section at a Tertiary Care Hospital

Authors

  • Dr. Pramod R. Gade DVVPF's Medical College & Hospital, Ahmednagar-414111, Maharashtra, India
  • Dr. Sharmeen K. Vazifdar
  • Dr. Gautam S. Aher

DOI:

https://doi.org/10.46858/vimshsj.8204

Keywords:

Decision to delivery interval, Caesarean section, DDI

Abstract

Background: One of the main factors affecting maternal morbidity and mortality is the decision to delivery interval (DDI) that is, the time taken from the decision to take the patient up for caesarean section to the delivery of the fetus. Method: This is a retrospective observational study conducted over a period of twelve months where 370 patients were studied. Results: No delay was seen in 49.2% cases whereas most delay was noted after decision by obstetricians to transfer patient to OT (22.2%). Conclusion: In order to get favourable maternal and fetal outcome decision to delivery interval should be within 30 minutes and this can be made possible if factors like results of blood investigations and cross matching of blood can be made available on time.

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References

Wee MY, Brown H, Reynolds F. The National Institute of Clinical Excellence (NICE) guidelines for caesarean sections: implications for the anaesthetist. International Journal of Obstetric Anesthesia. 2005 Apr 1;14(2):147-58.

Gholitabar M, Ullman R, James D, Griffiths M. Caesarean section: summary of updated NICE guidance. Bmj. 2011 Nov 23;343.

Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams obstetrics, 24e. Mcgraw-hill; 2014.

American College of Obstetricians and Gynecologists. Preparing for clinical emergencies in obstetrics and gynecology. Committee Opinion No. 590. Obstet Gynecol. 2014;123:722-5.

Fesseha N, Getachew A, Hiluf M, Gebrehiwot Y, Bailey P. A national review of cesarean delivery in Ethiopia. International Journal of Gynecology & Obstetrics. 2011 Oct 1;115(1):106-11.

Fayyaz S, Rafiq S, Hussain SS. Evaluation of ‘decision to delivery interval’and causes of delay in emergency caesarean sections in a tertiary care hospital. Journal of Postgraduate Medical Institute (Peshawar-Pakistan). 2015;29(4).

MacKenzie IZ, Cooke I. What is a reasonable time from decision?to?delivery by caesarean section? Evidence from 415 deliveries. BJOG: An International Journal of Obstetrics & Gynaecology. 2002 May;109(5):498-504.

Chukwudi OE, Okonkwo CA. Decision-delivery interval and perinatal outcome of emergency caesarean sections at a tertiary institution. Pakistan journal of medical sciences. 2014 Sep;30(5):946.

Sayegh I, Dupuis O, Clement HJ, Rudigoz RC. Evaluating the decision-to-delivery interval in emergency caesarean sections. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2004 Sep 10;116(1):28-33

Yakasai IA, Ahmed ZD, Okonofua FE. Decision delivery interval in emergency cesarean section in tertiary centre in Northern Nigeria. Orient J Sci Res. 2012;1:16-23.

Hughes NJ, Namagembe I, Nakimuli A, Sekikubo M, Moffett A, Patient CJ, Aiken CE. Decision-to-delivery interval of emergency cesarean section in Uganda: a retrospective cohort study. BMC Pregnancy and Childbirth. 2020 Dec;20:1-0.

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Published

2021-06-17

How to Cite

Gade, D. . P. R., Vazifdar, D. S. K. ., & Aher, D. G. S. . (2021). A Cross Sectional Study to Evaluate Decision to Delivery Interval in Emergency Caeserian Section at a Tertiary Care Hospital. VIMS Health Science Journal, 8(2), 67–70. https://doi.org/10.46858/vimshsj.8204

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