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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139180/ https://www.ncbi.nlm.nih.gov/pubmed/21785730 http://dx.doi.org/10.1155/2011/640379 |
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author | Cerbinskaite, Aiste Malone, Sarah McDermott, Jennifer Loughney, Andrew D. |
author_facet | Cerbinskaite, Aiste Malone, Sarah McDermott, Jennifer Loughney, Andrew D. |
author_sort | Cerbinskaite, Aiste |
collection | PubMed |
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 | Online Article Text |
id | pubmed-3139180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-31391802011-07-22 Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval Cerbinskaite, Aiste Malone, Sarah McDermott, Jennifer Loughney, Andrew D. J Pregnancy Clinical Study 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. Hindawi Publishing Corporation 2011 2011-07-13 /pmc/articles/PMC3139180/ /pubmed/21785730 http://dx.doi.org/10.1155/2011/640379 Text en Copyright © 2011 Aiste Cerbinskaite et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Cerbinskaite, Aiste Malone, Sarah McDermott, Jennifer Loughney, Andrew D. Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval |
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 |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139180/ https://www.ncbi.nlm.nih.gov/pubmed/21785730 http://dx.doi.org/10.1155/2011/640379 |
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