Understanding the Decision-Delivery Interval in Cesarean Births
- Author:
Naseem Rashid
;
Sivalingam Nalliah
- Publication Type:Review
- Keywords:
Cesarean delivery, Decision-delivery interval, Indications for emergency cesarean delivery, Perinatal asphyxia, Birth asphyxia
- From:International e-Journal of Science, Medicine and Education
2007;1(2):61-68
- CountryMalaysia
- Language:English
-
Abstract:
Avoiding the adverse neonatal effects of perinatal
asphyxia has been one of the common indications for
cesarean deliveries in current obstetric practice.
Expeditious delivery is dependent on decision to
perform cesarean delivery and time lines achieved. A
decision-delivery interval of 30 minutes, a concept
initiated by the American College of Obstetricians and
Gynecologists has open to debate as controversy reins
about neonatal outcome when this time interval is
considered in isolation. Time lines alone are probably
not the only criteria to be employed, and may
contribute to errors in interpretation by professional
regulatory bodies and the society at large. Procedures
prior to decision making like trial of labour, fetal scalp
sampling and readily available resources for instituting
emergent cesarean delivery invariably need to be
considered. Though decision to delivery time is an
integral component of critical conduct intervals in the
acutely compromised fetus, a more pragmatic approach
needs to be taken considering potential and known
logistical and obstetric factors in line with good
obstetric practice.
- Full text:W020150928381392943289.pdf
