ArticleJournal of pregnancy2011
Emergency caesarean section: influences on the decision-to-delivery interval.
Article in Journal of pregnancy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled 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, maternal and fetal outcomes in emergency caesarean sections in a tertiary teaching hospital, Dar es salaam, Tanzania.African health sciences · 2023Article
- Vaginal Birth at Term - Part 2. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/083, December 2020).Geburtshilfe und Frauenheilkunde · 2022Article
- Vaginal Birth at Term - Part 1. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/083, December 2020).Geburtshilfe und Frauenheilkunde · 2022Article
- Using machine learning to identify quality-of-care predictors for emergency caesarean sections: a retrospective cohort study.BMJ open · 2022Article
- A Retrospective Review of Decision to Delivery Time Interval for Foetal Distress at a Central Hospital.International journal of women's health · 2022Article
- Birth asphyxia following delayed recognition and response to abnormal labour progress and fetal distress in a 31-year-old multiparous Malawian woman.BMJ case reports · 2019Article
- Decision Delivery Interval in Emergency and Urgent Caesarean Sections: Need to Reconsider the Recommendations?Journal of obstetrics and gynaecology of India · 2018Article
- The decision delivery interval in emergency caesarean section and its associated maternal and fetal outcomes at a referral hospital in northern Tanzania: a cross-sectional study.BMC pregnancy and childbirth · 2017Article
- 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
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
RCOG/NICE guidelines recommend that, for fetal compromise in labour, delivery should be accomplished ideally within 30 minutes. In this study, we investigated the factors which affect the decision-to-delivery (DD) intervals for emergency caesareans. To achieve this, prospective data were collected for all grade 1 and 2 caesareans performed on a busy labour ward over 12 months. We found that the ratio of labouring women to midwives had a significant effect on the DD intervals, which were significantly prolonged when 1 : 1 care was not provided (P < 0.001). The observed effect resulted exclusively from a prolonged transfer time to theatre. General anesthesia use shortened the DD interval for grade 1 caesareans (P < 0.001) and was more likely to be used during the day shift (P < 0.009). We conclude that midwifery staffing levels and the form of anaesthesia employed influence on DD intervals for the most urgent caesarean sections.
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