Non-elective caesarean section: How long do we take to deliver?

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dc.contributor.authorle Riche H.
dc.contributor.authorHall D.R.
dc.date.accessioned2011-05-15T16:17:12Z
dc.date.available2011-05-15T16:17:12Z
dc.date.issued2005
dc.description.abstractThis study measured the decision to delivery time intervals in non-elective caesarean sections and compared them to the 30-min interval suggested by international literature. It also evaluated fetal outcome. A 3-month prospective evaluation of all (n=178) non-elective caesarean sections was performed, using a structured time and data sheet, in a tertiary centre. Operations were divided into 'emergency', most pressing and 'urgent' where maternal or fetal compromise were not immediately life-threatening. The median interval for the 100 emergency cases was 48 min, and 59 min for the 78 urgent cases. Only 28 (15.7 per cent) of decision to delivery intervals were within 30 min. Twenty-two babies (12.4 per cent) had Apgar scores of below 7 at 5 min. Most decision to delivery intervals exceeded 30 min. It may be wiser to train staff to recognize and respond appropriately to emergencies than insisting on rigid decision to delivery intervals. © Oxford University Press 2005; all rights reserved.
dc.description.versionArticle
dc.identifier.citationJournal of Tropical Pediatrics
dc.identifier.citation51
dc.identifier.citation2
dc.identifier.issn01426338
dc.identifier.other10.1093/tropej/fmh082
dc.identifier.urihttp://hdl.handle.net/10019.1/14115
dc.subjectApgar score
dc.subjectarticle
dc.subjectbreech presentation
dc.subjectcesarean section
dc.subjectcontrolled study
dc.subjectemergency surgery
dc.subjectfatality
dc.subjectfemale
dc.subjectfetus distress
dc.subjectfetus outcome
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmedical decision making
dc.subjectoperation duration
dc.subjectplacenta previa
dc.subjectprospective study
dc.subjectsolutio placentae
dc.subjectApgar Score
dc.subjectCesarean Section
dc.subjectEmergencies
dc.subjectFemale
dc.subjectGuideline Adherence
dc.subjectHumans
dc.subjectInfant, Newborn
dc.subjectPregnancy
dc.subjectProspective Studies
dc.subjectSouth Africa
dc.subjectTime Factors
dc.subjectTreatment Outcome
dc.titleNon-elective caesarean section: How long do we take to deliver?
dc.typeArticle
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