| Autor: |
Enas Abdulrahim Ibrahim Alzebdeh, Tom Farrell, Abubaker Yh Abdel Rahim, Enaam Mohammed Ali Rudwan, Shameena Ajmal, Huda Abdullah Hussain Saleh, Smitha Joel, Mariam Kunjachen Maducolil, Stephen W Lindow |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
International Journal of Pregnancy & Child Birth. 7:98-104 |
| ISSN: |
2574-9889 |
| Popis: |
Objectives: The introduction of cesarean section categorization and recommendations on decision to delivery interval was a major step forward towards standardizing clinical response to obstetric emergencies. The recommended decision to delivery interval (DDI) for category 1 cesarean sections is 30 minutes, however there is a balance to be struck to ensure that reducing fetal hypoxic risk is not at the expense of increasing maternal and fetal morbidity. The aim of the study was to review category 1 cesarean sections, focusing on reasons for delays and neonatal outcomes. Design: The study was conducted as a quality improvement initiative to review the performance of the institution in managing women delivered as category 1 cesarean section between January 2020 and August 2020. Methods: The data was extracted from the operating theatre log book and patient electronic records (Cerner system) and analyzed using SPSS statistics package. Results: There were 577 cases of category 1 Cesarean section undertaken during the study period. The recommended DDI of 30 minutes was achieved in 385/577 (67%) of cases but was exceeded in 192/577 (33%) of cases. The most common indication of category 1 cesarean section was fetal distress (58%). It was noted that significantly more women (88.8%) in the 30-minute group. The neonates in the |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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