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Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia

BACKGROUND: The interval between the decision for an emergency cesarean section and the delivery of the fetus should be made within 30 minutes. In a setting like Ethiopia, the recommendation of 30 minutes is unrealistic. Decision to delivery interval should, therefore, be considered as vital in impr...

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Autores principales: Beyene, Kassaw, Fekadu, Kassahun, Yihune, Manaye, Alemayehu, Yosef, Alelign, Dagninet, Ashebir, Gedife, Wassihun, Biresaw, Debeb, Abrham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research and Publications Office of Jimma University 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987295/
https://www.ncbi.nlm.nih.gov/pubmed/36890945
http://dx.doi.org/10.4314/ejhs.v33i1.6
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author Beyene, Kassaw
Fekadu, Kassahun
Yihune, Manaye
Alemayehu, Yosef
Alelign, Dagninet
Ashebir, Gedife
Wassihun, Biresaw
Debeb, Abrham
author_facet Beyene, Kassaw
Fekadu, Kassahun
Yihune, Manaye
Alemayehu, Yosef
Alelign, Dagninet
Ashebir, Gedife
Wassihun, Biresaw
Debeb, Abrham
author_sort Beyene, Kassaw
collection PubMed
description BACKGROUND: The interval between the decision for an emergency cesarean section and the delivery of the fetus should be made within 30 minutes. In a setting like Ethiopia, the recommendation of 30 minutes is unrealistic. Decision to delivery interval should, therefore, be considered as vital in improving perinatal outcomes. This study aimed to assess the decision to delivery interval, its perinatal outcomes, and associated factors. METHODS: A facility-based cross-sectional study was employed, and a consecutive sampling technique was used. Both the questionnaire and the data extraction sheet were used, and data analysis was done using a statistical package for social science version 25 software. Binary logistic regression was used to assess the factors associated with decision to delivery interval. P-value < 0.05 level of significance with a 95% Confidence interval was considered statistically significant. RESULTS: Decision-to-delivery interval below 30 minutes was observed in 21.3% of emergency cesarean sections. Category one (AOR=8.45, 95% CI, 4.66, 15.35), the presence of additional OR table (AOR=3.31, 95% CI, 1.42, 7.70), availability of materials and drugs (AOR=4.08, 95% CI, 1.3, 12.62) and night time (AOR=3.08, 95% CI, 1.04, 9.07) were factors significantly associated. The finding revealed that there was no statistically significant association between prolonged decisions to delivery interval with adverse perinatal outcomes. CONCLUSIONS: Decision-to-delivery intervals were not achieved within the recommended time interval. The prolonged decision to delivery interval and adverse perinatal outcomes had no significant association. Providers and facilities should be better equipped in advance and ready for a rapid emergency cesarean section.
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spelling pubmed-99872952023-03-07 Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia Beyene, Kassaw Fekadu, Kassahun Yihune, Manaye Alemayehu, Yosef Alelign, Dagninet Ashebir, Gedife Wassihun, Biresaw Debeb, Abrham Ethiop J Health Sci Original Article BACKGROUND: The interval between the decision for an emergency cesarean section and the delivery of the fetus should be made within 30 minutes. In a setting like Ethiopia, the recommendation of 30 minutes is unrealistic. Decision to delivery interval should, therefore, be considered as vital in improving perinatal outcomes. This study aimed to assess the decision to delivery interval, its perinatal outcomes, and associated factors. METHODS: A facility-based cross-sectional study was employed, and a consecutive sampling technique was used. Both the questionnaire and the data extraction sheet were used, and data analysis was done using a statistical package for social science version 25 software. Binary logistic regression was used to assess the factors associated with decision to delivery interval. P-value < 0.05 level of significance with a 95% Confidence interval was considered statistically significant. RESULTS: Decision-to-delivery interval below 30 minutes was observed in 21.3% of emergency cesarean sections. Category one (AOR=8.45, 95% CI, 4.66, 15.35), the presence of additional OR table (AOR=3.31, 95% CI, 1.42, 7.70), availability of materials and drugs (AOR=4.08, 95% CI, 1.3, 12.62) and night time (AOR=3.08, 95% CI, 1.04, 9.07) were factors significantly associated. The finding revealed that there was no statistically significant association between prolonged decisions to delivery interval with adverse perinatal outcomes. CONCLUSIONS: Decision-to-delivery intervals were not achieved within the recommended time interval. The prolonged decision to delivery interval and adverse perinatal outcomes had no significant association. Providers and facilities should be better equipped in advance and ready for a rapid emergency cesarean section. Research and Publications Office of Jimma University 2023-01 /pmc/articles/PMC9987295/ /pubmed/36890945 http://dx.doi.org/10.4314/ejhs.v33i1.6 Text en © 2021 Kassaw Beyene, et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Original Article
Beyene, Kassaw
Fekadu, Kassahun
Yihune, Manaye
Alemayehu, Yosef
Alelign, Dagninet
Ashebir, Gedife
Wassihun, Biresaw
Debeb, Abrham
Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia
title Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia
title_full Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia
title_fullStr Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia
title_full_unstemmed Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia
title_short Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia
title_sort decision to delivery interval, perinatal outcome and factors following emergency cesarean section in southern ethiopia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987295/
https://www.ncbi.nlm.nih.gov/pubmed/36890945
http://dx.doi.org/10.4314/ejhs.v33i1.6
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