ArticleBMJ (Clinical research ed.)2001
Interval between decision and delivery by caesarean section-are current standards achievable? Observational case series.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association between decision-to-delivery time and neonatal outcomes: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Techniques for caesarean section.The Cochrane database of systematic reviews · 2008Pooled it
- Effect of Anesthetic Modality on Decision-to-Delivery Interval and Maternal-Neonatal Outcomes in Category 2 and 3 Cesarean Deliveries.Journal of clinical medicine · 2024Article
- Influence of organizational factors on the offer and success rate of a trial of labor after cesarean section in Belgium: an ecological study.BMC pregnancy and childbirth · 2023Article
- Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand.Obstetrics & gynecology science · 2018Article
- Decision-to-Delivery Time and Perinatal Complications in Emergency Cesarean Section.Deutsches Arzteblatt international · 2017Article
- Caesarean Section for Foetal Distress and Correlation with Perinatal Outcome.Journal of obstetrics and gynaecology of India · 2016Article
- Determinants of decision-to-intervention time in the management and therapeutic outcome of emergency gynecological surgeries in south east Nigeria.Therapeutics and clinical risk management · 2014Article
- Emergency caesarean section: influences on the decision-to-delivery interval.Journal of pregnancy · 2011Article
- Cesarean section for suspected fetal distress, continuous fetal heart monitoring and decision to delivery time.Indian journal of pediatrics · 2008Article
- An audit of compliance with motor traffic regulations and use of green warning lights by consultants recalled to hospital to attend emergencies.Emergency medicine journal : EMJ · 2007Article
- Improving emergency caesarean delivery response times at a rural community hospital.Quality & safety in health care · 2007Article
- Delivery by caesarean section. Increased numbers of caesareans do not match diagnoses of fetal distress.BMJ (Clinical research ed.) · 2001Article
- Caesarean section for fetal distress.BMJ (Clinical research ed.) · 2001Article
- Evaluation of decision-to-delivery interval in emergency cesarean section: A 1-year prospective audit in a tertiary care hospital.Journal of anaesthesiology, clinical pharmacologyArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo audit interval from decision to delivery in urgent caesarean section to determine whether the current standard of 30 minutes is achievable routinely; to determine whether delay leads to an excess of admissions to special care.
designThree audit cycles over four years followed by a continuous audit over 32 months.
settingLarge district general hospital delivering 5500 women each year.
participantsAll women delivered by urgent caesarean section for abnormal fetal heart rate patterns, cord prolapse, failed instrumental delivery, or suspected placental abruption.
main outcome measuresProportion of women delivered within 30 and 40 minutes of decision. Admission rates to special care by length of interval between decision and delivery.
resultsIn the continuous audit 478 of 721 (66.3%) women were delivered in 30 minutes and 637 (88.3%) within 40 minutes; 29 (4.0%) were undelivered at 50 minutes. If the woman was taken to theatre in 10 minutes, 409 of 500 (81.8%) were delivered in 30 minutes and 495 (97%) in 40 minutes. There was no significant difference in the proportion of babies born at 36 weeks or later who were admitted to special care, when analysed by interval from decision to delivery. 36/449 (8%) babies with an interval from decision to delivery of less than 30 minutes were admitted to special care and 3/23 (13%) with an interval of more than 50 minutes were admitted.
conclusionsThe current recommendations for the interval between decision and delivery are not being achieved in routine practice. Failure to meet the recommendations does not seem to increase neonatal morbidity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.