Evidence map›Paper›PMID 33743626›Full record

ArticleBMC pregnancy and childbirth2021

Decision to delivery interval and associated factors for emergency cesarean section: a cross-sectional study.

Tebabere Moltot Kitaw, Simachew Kassa Limenh, Fantahun Alemnew Chekole, Simegnew Asmer Getie, Belete Negese Gemeda, Abayneh Shewangzaw Engda

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Cesarean delivery volume and risk of long-term neurodevelopmental disorders in offspring.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Tebabere Moltot KitawDepartment of Midwifery, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia. mtebabere@gmail.com.
Simachew Kassa LimenhSchool of Health Sciences, College of medicine and health science, Bahir Dar University, Bahir Dar, Ethiopia.
Fantahun Alemnew ChekoleSchool of Health Sciences, College of medicine and health science, Bahir Dar University, Bahir Dar, Ethiopia.
Simegnew Asmer GetieSchool of Health Sciences, College of medicine and health science, Bahir Dar University, Bahir Dar, Ethiopia.
Belete Negese GemedaDepartment of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Abayneh Shewangzaw EngdaDepartment of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Bahir Dar University · ETDebre Berhan University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency cesarean section is a commonly performed surgical procedure in pregnant women with life-threatening conditions of the mother and/or fetus. According to the Royal College of Obstetricians and Gynecologists and the American College of Obstetricians and Gynecologists, decision to delivery interval for emergency cesarean sections should be within 30 min. It is an indicator of quality of care in maternity service, and if prolonged, it constitutes a third-degree delay. This study aimed to assess the decision to delivery interval and associated factors for emergency cesarean section in Bahir Dar City Public Hospitals, Ethiopia.

methodAn institution-based cross-sectional study was conducted at Bahir Dar City Public Hospitals from February to May 2020. Study participants were selected using a systematic random sampling technique. A combination of observations and interviews was used to collect the data. Data entry and analysis were performed using Epi-data version 3.1 and SPSS version 25, respectively. Statistical significance was set at p < 0.05.

resultDecision-to-delivery interval below 30 min was observed in 20.3% [95% CI = 15.90-24.70%] of emergency cesarean section. The results showed that referral status [AOR = 2.5, 95% CI = 1.26-5.00], time of day of emergency cesarean section [AOR = 2.5, 95%CI = 1.26-4.92], status of surgeons [AOR = 2.95, 95%CI = 1.30-6.70], type of anesthesia [AOR = 4, 95% CI = 1.60-10.00] and transfer time [AOR = 5.26, 95% CI = 2.65-10.46] were factors significantly associated with the decision to delivery interval.

conclusionDecision-to-delivery intervals were not achieved within the recommended time interval. Therefore, to address institutional delays in emergency cesarean section, providers and facilities should be better prepared in advance and ready for rapid emergency action.

Indexed as

Clinical Decision-MakingAdultCesarean SectionCross-Sectional StudiesEmergency TreatmentEthiopiaFemaleGuideline AdherenceHospitals, PublicHospitals, UrbanHumansInfant, NewbornMaternal DeathObstetric Labor ComplicationsPerinatal CarePerinatal DeathBahir DarDecision to delivery intervalEmergency cesarean sectionEthiopiaPublic hospitals

Identifiers

PMID33743626
PMCPMC7981954
OpenAlexW3138415468

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LicenceCC BY
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Registered trials

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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.