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Open Access 01-12-2021 | Sectio Ceasarea | Research article

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

Authors: Tebabere Moltot Kitaw, Simachew Kassa Limenh, Fantahun Alemnew Chekole, Simegnew Asmer Getie, Belete Negese Gemeda, Abayneh Shewangzaw Engda

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

Abstract

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 < 0.05.

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.

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Title: Decision to delivery interval and associated factors for emergency cesarean section: a cross-sectional study
Authors: Tebabere Moltot Kitaw
Simachew Kassa Limenh
Fantahun Alemnew Chekole
Simegnew Asmer Getie
Belete Negese Gemeda
Abayneh Shewangzaw Engda
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Sectio Ceasarea
Sectio Caesarea
Published in: BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-021-03706-8

2024 ASCO Annual Meeting

Springer Medicine

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

Abstract

Background

Method

Result

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Method

Result

Conclusion

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