[Cesarean section for fetal distress--is the decision interval for delivery significant?].
The recommended Interval between the decision to perform emergency cesarean section and the delivery itself is 30 minutes. There is not enough clinical evidence in maintenance of this opinion.


OBJECTIVE
to study the interval from the decision of the cesarean section for fetal distress to delivery itself, as well as to analyze fetal and mother's outcome.


METHODS
Prospective 13-month-study for the period 2003-2004 in Delivery room "Majchin Dom" included observation of 125 women. Cesarean section is classified in 3 Categories--1st--deemed highly hazardous for mother or/and fetus (crush); 2nd--not directly hazardous for mother or/and fetus (emergency); and 3dt--not direct mother or/and fetal distress, but the delivery is necessary in a short period of time (urgency). The Interval and the Categories are comparable with the presence or absence of fetal distress (Apgar < 7, pH < 7.20).


CONCLUSIONS
Positive results are found in the 1st category when the C-section is performed in 30 minutes. There are significant differences between the three Categories--the percentage of fetal distress is growing up comparable to prolongation of the time interval. Prolongation of the time interval for more than 60 minutes lead to poor fetal outcome.
Tsankova
M
M
Dimitrov
A
A
Nikolov
A
A
Krŭsteva
K
K
D001034:Apgar Score; D002585:Cesarean Section / Q000379:methods*; D003657:Decision Making; D036861:Delivery, Obstetric; D004630:Emergencies; D005260:Female; D005316:Fetal Distress; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007744:Obstetric Labor Complications / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D013997:Time Factors