Decision to delivery interval and associated factors for emergency cesarean section: a cross-sectional study

Autor: Simachew Kassa Limenh, Tebabere Moltot Kitaw, Belete Negese Gemeda, Abayneh Shewangzaw Engda, Fantahun Alemnew Chekole, Simegnew Asmer Getie
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Adult
medicine.medical_specialty
Emergency Cesarean Section
Time Factors
Referral
Cross-sectional study
Perinatal Death
Clinical Decision-Making
Reproductive medicine
Data entry
Bahir Dar
lcsh:Gynecology and obstetrics
Time-to-Treatment
03 medical and health sciences
Young Adult
0302 clinical medicine
Hospitals
Urban
Pregnancy
Statistical significance
medicine
Humans
030212 general & internal medicine
Maternity service
Emergency Treatment
lcsh:RG1-991
Quality of Health Care
030219 obstetrics & reproductive medicine
business.industry
Cesarean Section
Hospitals
Public
Infant
Newborn
Obstetrics and Gynecology
Systematic sampling
Emergency cesarean section
medicine.disease
Obstetric Labor Complications
Decision to delivery interval
Perinatal Care
Cross-Sectional Studies
Practice Guidelines as Topic
Maternal Death
Female
Medical emergency
Ethiopia
Guideline Adherence
business
Public hospitals
Research Article
Zdroj: BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-7 (2021)
ISSN: 1471-2393
Popis: Background Emergency cesarean section is a commonly performed surgical procedure in pregnant women with life-threatening conditions of the mother and/or fetus. According to the Royal College of Obstetricians and Gynecologists and the American College of Obstetricians and Gynecologists, decision to delivery interval for emergency cesarean sections should be within 30 min. It is an indicator of quality of care in maternity service, and if prolonged, it constitutes a third-degree delay. This study aimed to assess the decision to delivery interval and associated factors for emergency cesarean section in Bahir Dar City Public Hospitals, Ethiopia. Method An institution-based cross-sectional study was conducted at Bahir Dar City Public Hospitals from February to May 2020. Study participants were selected using a systematic random sampling technique. A combination of observations and interviews was used to collect the data. Data entry and analysis were performed using Epi-data version 3.1 and SPSS version 25, respectively. Statistical significance was set at p Result Decision-to-delivery interval below 30 min was observed in 20.3% [95% CI = 15.90–24.70%] of emergency cesarean section. The results showed that referral status [AOR = 2.5, 95% CI = 1.26–5.00], time of day of emergency cesarean section [AOR = 2.5, 95%CI = 1.26–4.92], status of surgeons [AOR = 2.95, 95%CI = 1.30–6.70], type of anesthesia [AOR = 4, 95% CI = 1.60–10.00] and transfer time [AOR = 5.26, 95% CI = 2.65–10.46] were factors significantly associated with the decision to delivery interval. Conclusion Decision-to-delivery intervals were not achieved within the recommended time interval. Therefore, to address institutional delays in emergency cesarean section, providers and facilities should be better prepared in advance and ready for rapid emergency action.
Databáze: OpenAIRE
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