| Autor: |
Paily, Vakkanal Paily, Girijadevi, Raji Raj, George, Sachin, Tawab, Abdul, Sidhik, Afshana, Sudhamma, Ajithakumari, Neelankavil, Joshy Joseph, Usha, M. G., George, Raymond, Ramakrishnan, Soumya, Cheriyan, Sara, Pradeep, Manu, Mathai, Anu |
| Zdroj: |
Journal of Obstetrics & Gynecology of India; Apr2023, Vol. 73 Issue 2, p132-138, 7p |
| Abstrakt: |
Background: Many resource-constrained centres fail to meet the international standard of 30 min of decision-to-delivery interval (DDI) of Category-1 crash caesarean deliveries. However, specific scenarios like acute foetal bradycardia and antepartum haemorrhage necessitate even faster interventions. Methods: A multidisciplinary team developed a "CODE-10 Crash Caesarean" rapid response protocol to limit DDI to 15 min. A multidisciplinary committee analysed a retrospective clinical audit of maternal–foetal outcomes over 15 months (August 2020–November 2021), and expert recommendations were sought. Results: The median DDI of twenty-five patients who underwent a "CODE-10 Crash Caesarean delivery" was 13 ± 6 min, with 92% (23/25) of DDIs falling below 15 min. Seven neonates required intensive care for more than 24 h with no maternal or neonatal mortality. DDIs during office and non-office hours were not significantly different (12.5 ± 6 min vs 13 ± 5 min, p = 0.911). Transport delays caused the two instances of DDI > 15 min. Conclusion: The novel "CODE-10 Crash Caesarean" protocol may be feasible for adoption in a similar tertiary-care setting with appropriate planning and training. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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