ArticleSingapore medical journal2017
Decision-to-delivery intervals and total duration of surgery for Caesarean sections in a tertiary general hospital.
Article in Singapore medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Decision to delivery interval for emergency cesarean section and associated factors in africa: systematic review and meta-analysis.BMC women's health · 2025Pooled 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 associated factors among women undergoing emergency caesarean section in public hospitals of West and North Gojjam Zones, Northwest Ethiopia: A cross-sectional study, 2024.SAGE open medicine · 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 impact of general anesthesia on the outcomes of preterm infants with gestational age less than 32 weeks delivered via cesarean section.Frontiers in pharmacology · 2024Article
- Functional recovery after cesarean delivery: a prospective cohort study in rural Rwanda.BMC pregnancy and childbirth · 2023Article
- Decision to Delivery Interval, Perinatal Outcome and Factors Following Emergency Cesarean Section in Southern Ethiopia.Ethiopian journal of health sciences · 2023Article
- 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
- Decision to delivery interval and associated factors for emergency cesarean section: a cross-sectional study.BMC pregnancy and childbirth · 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
- The Current Role of General Anesthesia for Cesarean Delivery.Current anesthesiology reports · 2021Review
- 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
- A study of factors influencing surgical cesarean delivery times in an academic tertiary center.International journal of obstetric anesthesia · 2018Article
- Progress in obstetrics and gynaecology - evidence-based practices and practice-based evidence reviews.Singapore medical journal · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis study aimed to determine the decision-to-delivery intervals (DDIs), total duration of surgery and factors influencing these for Caesarean sections (CSs).
methodsA retrospective study was conducted of all CSs performed from August 2013 to June 2014 at a single tertiary general hospital. Data collected included maternal demographics, indications for CS, category of urgency, DDI, total duration of surgery, grade of first surgeon and number of previous CSs.
resultsIn total, 488 CSs (Category 1: n = 28; Category 2: n = 137; Category 3: n = 184; Category 4: n = 139) were studied. Overall mean duration of surgery was 41.7 minutes. Mean DDI was 23.9 minutes and 64.5 minutes for Category 1 and Category 2 CSs, respectively. For Category 1 CSs, deliveries during office hours had a significantly shorter DDI than deliveries out of office hours (p < 0.05). For Category 2 CSs, deliveries during office hours had a significantly longer DDI (p < 0.05). Total duration of surgery for senior surgeons was significantly shorter than for trainee surgeons (p < 0.05). Women with no previous CSs had a significantly shorter duration of surgery than those who had one or more (p < 0.05).
conclusionThe majority of the deliveries were within the recommended DDI corresponding to the degree of urgency of CS. The influence of time of day on DDI might be due to challenges of time taken to transfer patients to operating theatres. Total duration of surgery was influenced by surgical experience, history of previous CS and individual surgical styles and preferences.
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