Emergency cesarean section--organization and decision-delivery time

Geburtshilfe und Frauenheilkunde
P HillemannsR Knitza

Abstract

The German Society of Gynaecology and Obstetrics has published standards for obstetrical services concerning equipment, personnel and organisation. All obstetrical services must be able to perform an emergency Caesarean section with a 20 minutes interval from decision to delivery (D-D time). This study represents an analysis of the 75 emergency Caesarean sections performed at the University hospital Grosshadern of Munich during the interval from 1987 to 1994. This being a level III hospital, there is a 24 hour obstetrical, anaesthesia and neonatal service, and personnel is readily available. The operation can and has been done in each delivery room. 1. The incidence of emergency Caesarean sections was 0.6% compared to a total Caesarean rate of 21.5% in a high risk population having a preterm rate of 19% during the period of the study. 55% of the patients who had emergency Caesarean sections presented with a gestational age of less than 37 weeks and 35% of less than 32 weeks. 2. The mean time elapsed between decision and delivery (D-D time) was 12.8 minutes; however, the 90 percentile was 22 minutes and exceeded the recommended D-D time of 20 minutes. The mean decision to incision interval represented 9.1 minutes, and 3.6 minute...Continue Reading

Citations

Jul 5, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Salma Imran KayaniCarrol Preston
Feb 7, 2014·Obstetrics and Gynecology·Mary C TolcherColin P West
Apr 4, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·M K Spencer, A H MacLennan
Aug 5, 1998·Acta Anaesthesiologica Scandinavica·U M StamerH Wulf
Aug 6, 2004·European Journal of Obstetrics, Gynecology, and Reproductive Biology·I SayeghR C Rudigoz
May 23, 2008·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Olivier DupuisRené-Charles Rudigoz
Sep 1, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Caroline S E Homer, Christine Catling-Paull
Jan 14, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Marine Le MitouardMarion Cortet
Nov 8, 2017·Gynécologie, Obstétrique, Fertilité & Sénologie·A-S LafitteM Dreyfus

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