TY - JOUR
T1 - The 30-Minute Decision-to-Incision Interval for Emergency Cesarean Delivery
T2 - Fact or Fiction?
AU - Nasrallah, Fayez K.
AU - Harirah, Hassan M.
AU - Vadhera, Rakesh
AU - Jain, Venu
AU - Franklin, Letitia T.
AU - Hankins, Gary D.V.
PY - 2004/2/1
Y1 - 2004/2/1
N2 - The objective of this study was to evaluate the effect of the current guideline of 30-minute decision-to-incision interval (D-I) in emergent cesarean delivery (ECD) on neonatal and maternal outcomes. A retrospective chart review was conducted of pregnant women who underwent ECDs between January 1999 and December 2001. The overall median D-I was 20 minutes (range, 5 to 57 minutes). In 83 women (group I), D-I was ≤30 minutes, and in 28 women (group II), it exceeded 30 minutes. Group I had more neonates with cord pH <7.00, seizures, encephalopathy, and lower Apgar scores at 1 and 5 minutes than group II, but were not statistically significant. There was no significant difference in neonatal admission to the neonatal intensive care unit or length of stay between the two groups. Maternal complications were higher in group I, but not statistically significant. Although it was achieved in most of the ECDs, the guideline of 30-minute D-I does not seem to improve neonatal nor worsen maternal outcomes.
AB - The objective of this study was to evaluate the effect of the current guideline of 30-minute decision-to-incision interval (D-I) in emergent cesarean delivery (ECD) on neonatal and maternal outcomes. A retrospective chart review was conducted of pregnant women who underwent ECDs between January 1999 and December 2001. The overall median D-I was 20 minutes (range, 5 to 57 minutes). In 83 women (group I), D-I was ≤30 minutes, and in 28 women (group II), it exceeded 30 minutes. Group I had more neonates with cord pH <7.00, seizures, encephalopathy, and lower Apgar scores at 1 and 5 minutes than group II, but were not statistically significant. There was no significant difference in neonatal admission to the neonatal intensive care unit or length of stay between the two groups. Maternal complications were higher in group I, but not statistically significant. Although it was achieved in most of the ECDs, the guideline of 30-minute D-I does not seem to improve neonatal nor worsen maternal outcomes.
KW - Decision-to-incision
KW - Emergency cesarean delivery
KW - Neonatal and maternal outcomes
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U2 - 10.1055/s-2004-820513
DO - 10.1055/s-2004-820513
M3 - Article
C2 - 15017468
AN - SCOPUS:1442330141
SN - 0735-1631
VL - 21
SP - 63
EP - 68
JO - American Journal of Perinatology
JF - American Journal of Perinatology
IS - 2
ER -