Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval
RCOG/NICE guidelines recommend that, for fetal compromise in labour, delivery should be accomplished ideally within 30 minutes. In this study, we investigated the factors which affect the decision-to-delivery (DD) intervals for emergency caesareans. To achieve this, prospective data were collected f...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2011/640379 |
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| author | Aiste Cerbinskaite Sarah Malone Jennifer McDermott Andrew D. Loughney |
| author_facet | Aiste Cerbinskaite Sarah Malone Jennifer McDermott Andrew D. Loughney |
| author_sort | Aiste Cerbinskaite |
| collection | DOAJ |
| description | RCOG/NICE guidelines recommend that, for fetal compromise in labour, delivery should be accomplished ideally within 30 minutes. In this study, we investigated the factors which affect the decision-to-delivery (DD) intervals for emergency caesareans. To achieve this, prospective data were collected for all grade 1 and 2 caesareans performed on a busy labour ward over 12 months. We found that the ratio of labouring women to midwives had a significant effect on the DD intervals, which were significantly prolonged when 1 : 1 care was not provided (𝑃<0.001). The observed effect resulted exclusively from a prolonged transfer time to theatre. General anesthesia use shortened the DD interval for grade 1 caesareans (𝑃<0.001) and was more likely to be used during the day shift (𝑃<0.009). We conclude that midwifery staffing levels and the form of anaesthesia employed influence on DD intervals for the most urgent caesarean sections. |
| format | Article |
| id | doaj-art-d50ae3accb024a169a261efe398b40bc |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-d50ae3accb024a169a261efe398b40bc2025-02-03T01:29:17ZengWileyJournal of Pregnancy2090-27272090-27352011-01-01201110.1155/2011/640379640379Emergency Caesarean Section: Influences on the Decision-to-Delivery IntervalAiste Cerbinskaite0Sarah Malone1Jennifer McDermott2Andrew D. Loughney3Women's Services, Royal Victoria Infirmary, Richardson Road, Newcastle upon Tyne NE1 4LP, UKWomen's Services, Royal Victoria Infirmary, Richardson Road, Newcastle upon Tyne NE1 4LP, UKWomen's Services, Royal Victoria Infirmary, Richardson Road, Newcastle upon Tyne NE1 4LP, UKWomen's Services, Royal Victoria Infirmary, Richardson Road, Newcastle upon Tyne NE1 4LP, UKRCOG/NICE guidelines recommend that, for fetal compromise in labour, delivery should be accomplished ideally within 30 minutes. In this study, we investigated the factors which affect the decision-to-delivery (DD) intervals for emergency caesareans. To achieve this, prospective data were collected for all grade 1 and 2 caesareans performed on a busy labour ward over 12 months. We found that the ratio of labouring women to midwives had a significant effect on the DD intervals, which were significantly prolonged when 1 : 1 care was not provided (𝑃<0.001). The observed effect resulted exclusively from a prolonged transfer time to theatre. General anesthesia use shortened the DD interval for grade 1 caesareans (𝑃<0.001) and was more likely to be used during the day shift (𝑃<0.009). We conclude that midwifery staffing levels and the form of anaesthesia employed influence on DD intervals for the most urgent caesarean sections.http://dx.doi.org/10.1155/2011/640379 |
| spellingShingle | Aiste Cerbinskaite Sarah Malone Jennifer McDermott Andrew D. Loughney Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval Journal of Pregnancy |
| title | Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval |
| title_full | Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval |
| title_fullStr | Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval |
| title_full_unstemmed | Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval |
| title_short | Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval |
| title_sort | emergency caesarean section influences on the decision to delivery interval |
| url | http://dx.doi.org/10.1155/2011/640379 |
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