A prospective study to determine the relationship between the delivery interval and the perinatal outcome in emergency caesarean sections
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 7, Pages 4894-4901
AbstractAim: To determine the relationship between the delivery interval and the perinatal outcome in emergency caesarean sections.
Materials and methods: A prospective study was conducted in the Department of obstetrics and gynaecology, VIMS, Pawapuri, Nalanda, Bihar, India, India for 1 year.Pregnant women at term in whom decision for emergency caesarean delivery was taken and who delivered a singleton baby were included in this study. A questionnaire is designed containing information about, demographic details, pregnancy details, indication for emergency caesarean section, stage of labor, grade of obstetrician managing the case, time of decision to emergency caesarean section, time at arrival to theatre (TTT), time start of anesthesia, time delivery of the baby, type of anesthesia used, time and day of delivery, neonatal outcome (Apgar score at 1 min, 5 min birth weight, admission to NICU, condition at discharge), maternal outcome with regard to recovery from anesthesia, need for blood transfusion, condition at discharge.
Results: Mean age was 26.43±3.744 years. Majority of women were in the age group 25 to 30 years (43%). 53% of women were nulliparous women and 47% were multiparous. The mean DDI in the study participants was 80.28±29.66 mins. The mean DDI for interval 1, interval 2, interval 3 and interval 4 were 40.68±23.51, 18.50±6.940, 16.66±4.976 and 7.48±1.601 mins respectively. Mean DDI for category 1, 2, 3 caesarean deliveries were 48.23±14.35 mins, 65.83±12.83 mins, 111.1.5±13 mins respectively. Duration of DDI varied significantly in between the caesarean categories. In 100 cases included in the study, 75 babies were shifted to mother’s side after caesarean delivery, 24 babies were shifted to NICU and 1 was still born.
Conclusion: Neonatal outcomes did not differ significantly in between those caesarean deliveries with DDI≤30 mins and those with DDI>30 mins. It is difficult to achieve 30 minute goal in every emergency caesarean delivery and it is also not an indispensable measure to prevent maternal or neonatal morbidities.
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