ArticleBMJ (Clinical research ed.)2004
National cross sectional survey to determine whether the decision to delivery interval is critical in emergency caesarean section.
Article in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors associated with prolonged 'decision-to-delivery intervals' during emergency caesarean deliveries in Ethiopia: systematic review with meta-analysis, 2024.BMC pregnancy and childbirth · 2026Pooled it
- Association between decision-to-delivery time and neonatal outcomes: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Impact of a surgical sponsorship program on compliance with decision-to-delivery intervals in rural hospitals in Uganda.BMC pregnancy and childbirth · 2026Article
- Decision to delivery interval and predictors for delayed decision to delivery interval among women delivering by emergency caesarean section at a tertiary hospital, Southwestern Uganda: a prospective cohort study.BMC pregnancy and childbirth · 2025Article
- The traumatic childbirth experience of mothers after emergency cesarean section(EmCS) in China: a descriptive qualitative study.BMC pregnancy and childbirth · 2025Article
- 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
- Effect of Decision-to-Delivery Time of Emergency Cesarean Section on Adverse Newborn Outcomes at East Gojjam Zone Public Hospital, Ethiopia, March 2023: Multicenter Prospective Observational Study Design.International journal of women's health · 2024Article
- Decision to delivery interval, maternal and fetal outcomes in emergency caesarean sections in a tertiary teaching hospital, Dar es salaam, Tanzania.African health sciences · 2023Article
- Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia.Ethiopian journal of health sciences · 2023Article
- Evaluation of decision to delivery interval and its effect on feto-maternal outcomes in Category-I emergency cesarean section deliveries in Phuentsholing General Hospital, 2020: A retrospective cross-sectional study.Health science reports · 2023Article
- Prediction of Emergency Cesarean Section Using Detectable Maternal and Fetal Characteristics Among Saudi Women.International journal of women's health · 2023Article
- Short-term morbidity and types of intrapartum hypoxia in the newborn with metabolic acidaemia: a retrospective cohort study.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- Prediction of odds for emergency cesarean section: A secondary analysis of the CHILD term birth cohort study.PloS one · 2022Article
- Application of the Plan-Do-Check-Act Cycle in Shortening the Decision to Delivery Interval Time.Risk management and healthcare policy · 2022Article
- Impact of simulation training on decision to delivery interval in cord prolapse.BMJ simulation & technology enhanced learning · 2021Article
- Decision to Delivery Interval, Fetal Outcomes and Its Factors Among Emergency Caesarean Section Deliveries at South Gondar Zone Hospitals, Northwest Ethiopia: Retrospective Cross-Sectional Study, 2020.International journal of women's health · 2021Article
- Evaluation of decision to delivery time interval and its effect on feto-maternal outcomes and associated factors in category-1 emergency caesarean section deliveries: prospective cohort study.BMC pregnancy and childbirth · 2020Observational
- Expert perspectives on essential parameters to monitor during childbirth in low resource settings: a Delphi study in sub-Saharan Africa.Reproductive health · 2019Article
- Impact of decision to delivery time of fetal mortality in canine caesarean section in a referral population.Veterinary medicine and science · 2019Article
- Caesarean section audit to improve quality of care in a rural referral hospital in Tanzania.BMC pregnancy and childbirth · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the association between decision to delivery interval and maternal and baby outcomes.
designNational cross sectional survey.
settingMaternity units in England and Wales. SUBJECTS REVIEWED: 17 780 singleton births (99% of all births) delivered by emergency caesarean section in England and Wales between 1 May 2000 and 31 July 2000.
main outcome measuresAssociation between decision to delivery interval and baby outcomes (Apgar scores of < 7 and < 4 at five minutes and stillbirth) and maternal outcomes (requirement for special care additional to routine care after caesarean section and where care was provided).
resultsCompared with babies delivered within 15 minutes, there was no difference in maternal or baby outcome for decision to delivery interval between 16 and 75 minutes. After 75 minutes, however, there was a significantly higher odds of a five minute Apgar score of < 7 (odds ratio 1.7, 95% confidence interval 1.2 to 2.4), and 50% increase in odds of special care additional to routine care for mothers.
conclusionA decision to delivery interval of 30 minutes is not an absolute threshold for influencing baby outcome. Decision to delivery intervals of more than 75 minutes are associated with poorer maternal and baby outcomes and should be avoided.
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