Decision-to-delivery time intervals in emergency caesarean section cases : repeated cross-sectional study from Oman
Other Title(s)
الوقت ما بين اتخاذ القرار و إجراء العملية القيصرية العاجلة : دراسة متكررة لمقطع عرضي من عمان
Joint Authors
Tashfeen, Kaukab
Patel, Malini S.
al-Bu Saidi, Ibrahim H. Ali
al-Yarub, Mansur Nasir
Hamdi, Ilham Musa
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 17, Issue 1 (28 Feb. 2017), pp.38-42, 5 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2017-02-28
Country of Publication
Oman
No. of Pages
5
Main Subjects
Topics
Abstract EN
Objectives : In cases of fetal intolerance to labour, meeting the standard decision-to-delivery time interval (DDI) of ≤30 minutes is challenging.
This study aimed to assess DDIs in emergency Caesarean section (CS) cases to identify factors causing DDI delays and the impact of a delayed DDI on perinatal outcomes.
Methods : This repeated cross-sectional study included all emergency CS procedures performed due to acute fetal distress, antepartum haemorrhage or umbilical cord prolapse at the Nizwa Hospital, Nizwa, Oman.
Three audit cycles of three months each were conducted between April 2011 and June 2013, including an initial retrospective cycle and two prospective cycles following the implementation of improvement strategies to address factors causing DDI delays.
Poor perinatal outcomes were defined as Apgar scores of <7 at five minutes, admission to the Special Care Baby Unit (SCBU) or a stillbirth.
Results: In the initial cycle, a DDI of ≤30 minutes was achieved in 23.8% of 84 cases in comparison to 44.6% of 83 cases in the second cycle.
In the third cycle, 60.8% of 79 women had a DDI of ≤30 minutes (P <0.001).
No significant differences in perinatal outcomes for cases with a DDI of ≤30 minutes versus 31–60 minutes were observed; however, a DDI of >60 minutes was significantly associated with poor neonatal outcomes in terms of increased SCBU admissions and low Apgar scores (P <0.001 each).
Factors causing DDI delays included obtaining consent for the CS procedure, a lack of operating theatre availability and moving patients to the operating theatre.
Conclusion: The identification of factors causing DDI delays may provide opportunities to improve perinatal outcomes.
American Psychological Association (APA)
Tashfeen, Kaukab& Patel, Malini S.& Hamdi, Ilham Musa& al-Bu Saidi, Ibrahim H. Ali& al-Yarub, Mansur Nasir. 2017. Decision-to-delivery time intervals in emergency caesarean section cases : repeated cross-sectional study from Oman. Sultan Qaboos University Medical Journal،Vol. 17, no. 1, pp.38-42.
https://search.emarefa.net/detail/BIM-750531
Modern Language Association (MLA)
Tashfeen, Kaukab…[et al.]. Decision-to-delivery time intervals in emergency caesarean section cases : repeated cross-sectional study from Oman. Sultan Qaboos University Medical Journal Vol. 17, no. 1 (Feb. 2017), pp.38-42.
https://search.emarefa.net/detail/BIM-750531
American Medical Association (AMA)
Tashfeen, Kaukab& Patel, Malini S.& Hamdi, Ilham Musa& al-Bu Saidi, Ibrahim H. Ali& al-Yarub, Mansur Nasir. Decision-to-delivery time intervals in emergency caesarean section cases : repeated cross-sectional study from Oman. Sultan Qaboos University Medical Journal. 2017. Vol. 17, no. 1, pp.38-42.
https://search.emarefa.net/detail/BIM-750531
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 42
Record ID
BIM-750531