The decision to delivery interval in emergency and non-urgent cesarean sections.
OBJECTIVE
The aim of this study was to assess the decision to delivery interval (DDI) in our obstetric unit in comparison to current recommendations.


METHODS
A 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.


RESULTS
The 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.


CONCLUSIONS
The 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.
Lurie
Samuel
S
Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel. dslurie@hotmail.com
Sulema
Vicky
V
Kohen-Sacher
Bina
B
Sadan
Oscar
O
Glezerman
Marek
M
D000328:Adult; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical / Q000379:methods / Q000706:statistics & numerical data; D000775:Anesthesia, Spinal; D001034:Apgar Score; D002585:Cesarean Section; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D011247:Pregnancy; D012189:Retrospective Studies; D013997:Time Factors