• Eur. J. Obstet. Gynecol. Reprod. Biol. · Apr 2004

    Comparative Study

    The decision to delivery interval in emergency and non-urgent cesarean sections.

    • Samuel Lurie, Vicky Sulema, Bina Kohen-Sacher, Oscar Sadan, and Marek Glezerman.
    • Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel. dslurie@hotmail.com
    • Eur. J. Obstet. Gynecol. Reprod. Biol. 2004 Apr 15; 113 (2): 182-5.

    ObjectiveThe aim of this study was to assess the decision to delivery interval (DDI) in our obstetric unit in comparison to current recommendations.Study DesignA retrospective analysis of all non-elective cesarean sections during a 10 months period in a delivery ward of a university tertiary health care facility was performed. The DDI was compared between emergency and non-urgent cesarean sections.ResultsThe DDI was 25.8 +/- 10.8 +/- and 46.2 +/- 19.9 min in the emergency and non-urgent cesareans, respectively (P < 0.01). In the emergency group, 71% delivered within 30 min compared to 35% in the non-urgent group (P < 0.05) and in the emergent-crash group 100% delivered within 30 min compared to 59% in the emergent-non-crash group (P < 0.05). No correlation was found between the DDI and umbilical artery pH or Apgar score at 1 or 5 min in infants of each cesarean group.ConclusionThe proposed 30 min DDI standard was achieved in 100, 71, 47 and 35% of emergent-crash, emergent, emergent-non-crash and non-urgent cesareans sections, respectively.

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