The Relationship between Decision-to-Delivery Interval in Emergency Caesarean Sections and Neonatal Outcome
- VernacularTitle:急诊剖宫产自决定手术至胎儿娩出时间的影响因素及其与新生儿预后的关系
- Author:
Xia LI
;
Aiqing HU
;
Houwen PANG
- Publication Type:Journal Article
- Keywords:
Emergency caesarean sections;
Decision-to-delivery interval;
Apgar score;
Neonatal outcome
- From:
Journal of Practical Obstetrics and Gynecology
2010;26(4):276-278
- CountryChina
- Language:Chinese
-
Abstract:
Objectlve:To assess the influential factors of decision-to-delivery inteval (DDI) in caesarean section, and its influence on neonatal outcomes.Methods:472 caesarean sections were divided into two groups according to Lucas's classification :the emergency caesarean sections as group 1 (291) ; and the e-lective caesarean sections as group 2 (181).It was divided into DDI ≤30 min group and DDI > 30 mir group in group 1.A retrospective study was performed in DDI, influential factors of DDI, neonatal Apgar score and umbilical arterial blood gas.Results: ①The mean DDI was 35.5±11.6 min in group 1,in wgich DDI≤30 min was 210 cases (72.2%) and 49.3 ±22.8 min in group 2, in which DDI≤30 min was 86 cases (47.5%).②IN group 1,umbilical artery pH and Apgar core at 1 min after birth could be improved sigbificantly in the cases of DDI ≤ 30 min (P<0.05) , but no correlation was found between the DDI and Apgar scrore at 5 min ,as compared with DDI ＞30MIN CASES(p＞0.05).③It was mainly influenced by time taken to get the patient into operation room in DDI >30 min (56 cases, 69.1 %).Concluslons :The recommended DDI ≤30 min is not routinely achieved even in emergency caesarean sections.Shortening DDI as far as pos-sible might improve the neonatal outcome.
