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Journal of Pregnancy
Volume 2011 (2011), Article ID 640379, 6 pages
http://dx.doi.org/10.1155/2011/640379
Clinical Study

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

Women's Services, Royal Victoria Infirmary, Richardson Road, Newcastle upon Tyne NE1 4LP, UK

Received 18 February 2011; Accepted 12 May 2011

Academic Editor: Tamas Zakar

Copyright © 2011 Aiste Cerbinskaite et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 ratio of labouring women to midwives had a significant effect on the DD intervals, which were significantly prolonged when 1 : 1 care was not provided ( 𝑃 < 0 . 0 0 1 ). The observed effect resulted exclusively from a prolonged transfer time to theatre. General anesthesia use shortened the DD interval for grade 1 caesareans ( 𝑃 < 0 . 0 0 1 ) and was more likely to be used during the day shift ( 𝑃 < 0 . 0 0 9 ). We conclude that midwifery staffing levels and the form of anaesthesia employed influence on DD intervals for the most urgent caesarean sections.