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. 2024 Feb 9:16:249-264.
doi: 10.2147/IJWH.S436755. eCollection 2024.

Decision To Delivery Time and Its Predictors Among Mothers Who Underwent Emergency Cesarean Delivery At Selected Hospitals of Northwest Ethiopia, 2023: Prospective Cohort Study

Beker Ahmed Hussein  1 , Beyene Sisay Damtew  1 , Hinsermu Bayu Abdi  1 , Temesgen Worku Gudayu  2
Affiliations

Decision To Delivery Time and Its Predictors Among Mothers Who Underwent Emergency Cesarean Delivery At Selected Hospitals of Northwest Ethiopia, 2023: Prospective Cohort Study

Beker Ahmed Hussein et al. Int J Womens Health. .

Abstract

Background: The decision to delivery time is the interval between the decision and the childbirth by emergency caesarean delivery. The Royal College of Obstetricians and Gynecologists and the American College of Obstetricians and Gynecologists recommend that the decision to delivery time interval is less than 30 min. Additionally, the decision to delivery time varies across institutions and countries.

Objective: The aim of this study was to determine the decision to delivery time and its predictors among women who underwent emergency cesarean delivery at selected hospitals of Northwest Ethiopia, 2023.

Methods: An institutional-based prospective cohort study was conducted at selected hospitals of Northwest Ethiopia, among women who underwent emergency cesarean delivery from November 1 to January 30, 2023. A total of 285 participants were enrolled, and data collected using structured and pre-tested questionnaires. A systematic sampling technique was used. Data were entered into Epi-Data version 4.6 and then exported to STATA 15 for further analysis. The log rank test was utilized to compare group differences. The time is estimated by using the Kaplan-Meier curve and Cox proportional-hazard regression analysis was carried out to determine the predictors.

Results: From 285 participants, 56 (21.8%) women delivered within the recommended 30 min. The overall median survival time was undetermined and the restricted mean survival time was 48.9 min (95% CI: 47.4-50.5). The average decision to delivery time is affected among women who hesitate to accept consent (AHR: 0.17, 95% CI: 0.02-1.25), cord prolapses (AHR: 1.36, 95% CI: 0.46-3.94), rank of surgeon (AHR: 0.42. 95% CI: 0.42-1.08), no free operation room table (AHR: 0.27, 95% CI: 0.28-0.94), regional anesthesia (AHR: 0.56, 95% CI: 0.25-1.28), and use of a bladder flap (AHR: 0.33, 95% CI: 0.16-0.85).

Conclusion: Overall decision to delivery times among women who underwent emergency cesarean section at selected hospitals were longer than the recommended time.

Keywords: decision time; emergency cesarean delivery.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Schematic presentation of the sampling procedure at selected hospitals of Northwest Ethiopia, 2023.
Figure 2
Figure 2
Decision to delivery time among women underwent emergency cesarean delivery with different indications at selected hospitals of Northwest Ethiopia, 2023.
Figure 3
Figure 3
Decision to delivery time among women who underwent emergency with the rank of surgeon at selected hospitals of Northwest Ethiopia, 2023.
Figure 4
Figure 4
The overall restricted mean decision to delivery time among women who underwent emergency cesarean delivery at selected hospitals of Northwest Ethiopia, 2023.
Figure 5
Figure 5
Kaplan–Meier survival curve for comparison of the mean decision to delivery time among women who underwent emergency cesarean delivery with informed consent at selected hospitals of Northwest Ethiopia, 2023.
Figure 6
Figure 6
Kaplan–Meier survival curve for comparison of the mean decision to delivery time among women who underwent emergency cesarean delivery with indication at selected hospitals of Northwest Ethiopia, 2023.
Figure 7
Figure 7
Kaplan–Meier survival curve for comparison of the mean decision to delivery time among women who underwent emergency cesarean delivery with OR material prepared at selected hospitals of Northwest Ethiopia, 2023.
Figure 8
Figure 8
Kaplan–Meier survival curve for comparison of the mean decision to delivery time among women who underwent emergency with free functional OR table present at selected hospitals of Northwest Ethiopia, 2023.
Figure 9
Figure 9
Kaplan–Meier survival curve for comparison of the mean decision to delivery time among women who underwent emergency cesarean delivery with regional anesthesia and general anesthesia at selected hospitals of northwest Ethiopia, 2023.
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References

    1. Chukwudi OE, Okonkwo CA. Decision-delivery interval and perinatal outcome of emergency caesarean sections at a tertiary institution. Pakistan J Med Sci. 2014;30(5):946. doi:10.12669/pjms.305.5470 - DOI - PMC - PubMed
    1. Rashid N, Nalliah S. Understanding the decision-delivery interval in Cesarean births. IeJSME. 2007;1(2):61–68. doi:10.56026/imu.1.2.61 - DOI
    1. Singh R, Deo S, Pradeep Y. The decision-to-delivery interval in emergency Caesarean sections and its correlation with perinatal outcome: evidence from 204 deliveries in a developing country. Trop Doctor. 2012;42(2):67–69. doi:10.1258/td.2012.110315 - DOI - PubMed
    1. Yentis SM, Richards NA. Classification of urgency of caesarean section. Obstetrics Gynaecol Reproductive Med. 2008;18(5):139–140. doi:10.1016/j.ogrm.2008.03.005 - DOI
    1. Bello FA, Tsele TA, Oluwasola TO. Decision-to-delivery intervals and perinatal outcomes following emergency cesarean delivery in a Nigerian tertiary hospital. Int J Gynecol Obstet. 2015;130(3):279–283. doi:10.1016/j.ijgo.2015.03.036 - DOI - PubMed