Decision to delivery interval in emergency cesarean section and its association with perinatal outcome

Authors

  • Fareha Khatoon Associate Professor, Department of Obstetrics and Gynaecology, Era’s Lucknow Medical College and Hospital, Sarfarazganj, Lucknow, Uttar Pradesh, India https://orcid.org/0000-0002-0084-9528
  • Amrita Singh Assistant Professor, Department of Obstetrics and Gynaecology, Era’s Lucknow Medical College and Hospital, Sarfarazganj, Lucknow, Uttar Pradesh, India https://orcid.org/0000-0002-2462-9706
  • Sumaiya Shamsi Assistant Professor, Department of Paediatrics, Era’s Lucknow Medical College and Hospital, Sarfarazganj, Lucknow, Uttar Pradesh, India https://orcid.org/0000-0001-7373-6340
  • Ayesha Ahmad Associate Professor, Department of Obstetrics and Gynaecology, Era’s Lucknow Medical College and Hospital, Sarfarazganj, Lucknow, Uttar Pradesh, India https://orcid.org/0000-0003-2324-158X
  • Nikunj Teotia Resident, Department of Obstetrics and Gynaecology, Era’s Lucknow Medical College and Hospital, Sarfarazganj, Lucknow, Uttar Pradesh, India https://orcid.org/0000-0002-6405-154X

DOI:

https://doi.org/10.3126/ajms.v12i8.36316

Keywords:

Decision to delivery interval, Emergency cesarean section, Category 1 cesarean section, Category 2 caesarean section

Abstract

Background: Decision to delivery [DDI] interval is the time interval between decision for caesarean section [CS] and delivery of baby. The ideal DDI for emergency CS is not known; there is controversy over the best DDI to avoid preventable perinatal morbidity and mortality.

Aims and Objectives: This study was conducted to find out the DDI we could achieve for Category-1 and Category-2 CS and evaluate our findings against the recommendations by National Institute for Clinical Excellence [NICE]. We also studied the association of DDI with perinatal outcome and explored the reasons for prolongation of DDI.

Materials and Methods: This was a prospective study conducted over a period of 6 months. All women who underwent CS and meeting the inclusion criteria were recruited for the study. DDI was calculated as the time interval between decision making and delivery of baby, in minutes [min]. Data was collected for maternal socio-demographic variables, CS indication and complications and perinatal outcome. Analysis was done using SPSS version 21.0.

Results: Ninety out of one hundred eighty-one CS was evaluated. Cases were grouped as Group I [including cases where we could achieve the recommended DDI] and Group II [including cases where we could not achieve the recommended DDI]. The average DDI was 55.04 min for category- 1 and 55.13 for category-2 CS. For Category-1 CS, all the cases qualified for entry into Group II because we could not achieve a DDI of 30 min. For Category-2 CS there were 22 cases in Group I and 14 cases in Group II. There was no difference in perinatal outcome between the groups.

Conclusion: It was not feasible to achieve the 30 min DDI for Category-1 CS in the present study. The DDI of 30-75 min for Category-2 could be achieved in 61.11% cases. The most common reason for failure to achieve the recommended DDI was related to issues with anaesthesia in the pre-operative room as well as inside the theatre in the pre-induction phase. Delay in category-2 CS was not associated with poor perinatal outcome.

Downloads

Download data is not yet available.
Abstract
244
PDF
419
Cover AJMS

Downloads

Published

2021-07-30

How to Cite

Khatoon, F., Singh, A., Shamsi, S., Ahmad, A., & Teotia, N. (2021). Decision to delivery interval in emergency cesarean section and its association with perinatal outcome. Asian Journal of Medical Sciences, 12(8), 100–104. https://doi.org/10.3126/ajms.v12i8.36316

Issue

Vol. 12 No. 8 (2021)

Section

Original Articles

License

Copyright (c) 2021 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).