Evidence map›Paper›PMID 40611117›Full record

SynthesisBMC women's health2025

Decision to delivery interval for emergency cesarean section and associated factors in africa: systematic review and meta-analysis.

Fentahun Alemnew Chekole, Azimeraw Arega Tesfu, Fentahun Yenealem Beyene, Simegnew Asmer Getie, Amanuel Tebabal Nega, Simachew Animen Bante, Wondu Feyisa Balcha

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Fentahun Alemnew ChekoleDepartment of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, P.O. Box 079, Bahir Dar, Ethiopia. fentahun746@gmail.com.
Azimeraw Arega TesfuDepartment of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, P.O. Box 079, Bahir Dar, Ethiopia.
Fentahun Yenealem BeyeneDepartment of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, P.O. Box 079, Bahir Dar, Ethiopia.
Simegnew Asmer GetieDepartment of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, P.O. Box 079, Bahir Dar, Ethiopia.
Amanuel Tebabal NegaDepartment of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, P.O. Box 079, Bahir Dar, Ethiopia.
Simachew Animen BanteDepartment of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, P.O. Box 079, Bahir Dar, Ethiopia.
Wondu Feyisa BalchaDepartment of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, P.O. Box 079, Bahir Dar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecision to delivery interval describes the period of time between a decision and the baby's delivery. Particularly in emergency situations, cesarean sections (CS) have the potential to significantly lower maternal and perinatal mortality by up to 72%.The purpose of this review was to systematically identify and synthesize existing evidence to understand the magnitude of decision to delivery interval for emergency cesarean section and associated factors in Africa.

methodsA comprehensive search was conducted using PubMed, the Cochrane library, CINAHL, SciencDirect, and other pertinent sites for studies published in English up until July 12, 2024. A critical appraisal was conducted on the listed studies utilizing the Joanna Briggs Institute format. DerSimonian & Liard's random effects model was used in a meta-analysis carried out in STATA 11 software. The Cochran Q test was used to determine whether statistical heterogeneity existed, and the I

resultThe pooled estimate of decision-to-delivery interval for emergency caesarean sections in Africa within 30 min was 10.23% (95% CI: 8.34%, 12.12%). Time taken to collect materials (AOR,7.2;95%CI:3.2,16.4),status of surgeon (AOR,3.57;95% CI:1.12,11.43),types of anesthesia (AOR,3.23;95%CI:1.07,9.74),and transfer time (AOR,4.05;95%CI:1.87,8.74) were significantly associated with decision to delivery interval for emergency cesarean section ≤ 30 min.

conclusionIn Africa, the goal of delivering an emergency cesarean section within the advised time frame of within thirty minutes was not achieved. Material collection time, anesthetic type, client transfer time, and surgeon status were significant factors. Healthcare institutions and professionals must always be prepared to offer emergency care and must stock the hospital with all required supplies, reduce the amount of time needed for the transfer.

trial registrationCRD42024561310.

Indexed as

Cesarean SectionDecision MakingAfricaEmergenciesFemaleHumansPregnancyTime FactorsAfricaCesarean sectionDecision-to-delivery intervalEmergencyRisk factors

Identifiers

PMID40611117
PMCPMC12226836

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.