What is the acceptable decision-to-delivery interval for an emergency caesarean section?

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Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval

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...

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The decision to delivery interval in emergency caesarean

One important task of the emergency anaesthesia service is to Background: provide rapid, safe and effective anaesthesia for emergency caesarean sections (ECS). A Decision to Delivery Interval (DDI) <30 minutes for ECS is a quality indicator for this service. The aim of this study was to assess the DDI and the impact of chosen anaesthetic technique (general anaesthesia (GA), spinal anaesthesia (...

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National cross sectional survey to determine whether the decision to delivery interval is critical in emergency caesarean section.

OBJECTIVE To examine the association between decision to delivery interval and maternal and baby outcomes. DESIGN National cross sectional survey. SETTING Maternity 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 MEASURES Association be...

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Prospective 12 month study of 30 minute decision to delivery intervals for "emergency" caesarean section.

Clinical governance requires evidence based standards of clinical relevance to assess performance. The recommended interval between the decision to perform an “emergency” caesarean section and the procedure is 30 minutes 2 but there is little objective evidence to support this recommendation. We conducted a prospective 12 month study in a large consultant obstetric teaching unit to examine whet...

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The decision to delivery interval in emergency caesarean sections: Impact of anaesthetic technique and work shift

Background: One important task of the emergency anaesthesia service is to provide rapid, safe and effective anaesthesia for emergency caesarean sections (ECS). A Decision to Delivery Interval (DDI) <30 minutes for ECS is a quality indicator for this service. The aim of this study was to assess the DDI and the impact of chosen anaesthetic technique (general anaesthesia (GA), spinal anaesthesia (...

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ژورنال

عنوان ژورنال: BJOG: An International Journal of Obstetrics & Gynaecology

سال: 2016

ISSN: 1470-0328

DOI: 10.1111/1471-0528.13718