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急诊剖宫产：对决定分娩至分娩间隔时间的影响。

Emergency caesarean section: influences on the decision-to-delivery interval.

作者信息

Cerbinskaite Aiste, Malone Sarah, McDermott Jennifer, Loughney Andrew D

机构信息

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

出版信息

J Pregnancy. 2011;2011:640379. doi: 10.1155/2011/640379. Epub 2011 Jul 13.

DOI:10.1155/2011/640379
PMID:21785730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3139180/
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 < 0.001). The observed effect resulted exclusively from a prolonged transfer time to theatre. General anesthesia use shortened the DD interval for grade 1 caesareans (P < 0.001) and was more likely to be used during the day shift (P < 0.009). We conclude that midwifery staffing levels and the form of anaesthesia employed influence on DD intervals for the most urgent caesarean sections.

摘要

英国皇家妇产科医师学院/英国国家卫生与临床优化研究所指南建议，对于分娩时出现胎儿窘迫的情况，理想情况下应在30分钟内完成分娩。在本研究中，我们调查了影响急诊剖宫产决定至分娩（DD）间隔时间的因素。为实现这一目标，我们收集了12个月内在一个繁忙的产科病房进行的所有1级和2级剖宫产的前瞻性数据。我们发现，待产妇女与助产士的比例对DD间隔时间有显著影响，当未提供1:1护理时，DD间隔时间会显著延长（P<0.001）。观察到的影响完全是由于转送至手术室的时间延长所致。全身麻醉的使用缩短了1级剖宫产的DD间隔时间（P<0.001），且在白班期间更有可能使用（P<0.009）。我们得出结论，助产士人员配备水平和所采用的麻醉方式会影响最紧急剖宫产的DD间隔时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/8ca5807b52f4/JP2011-640379.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/17da870807c9/JP2011-640379.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/13022b3eeea3/JP2011-640379.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/ff81e22d3fcd/JP2011-640379.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/dcd6890cc735/JP2011-640379.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/516e9374123d/JP2011-640379.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/45d46cf141b2/JP2011-640379.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/0c12bc43f36f/JP2011-640379.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/8489f082c8c6/JP2011-640379.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/90c932bb9687/JP2011-640379.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/8ca5807b52f4/JP2011-640379.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/17da870807c9/JP2011-640379.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/13022b3eeea3/JP2011-640379.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/ff81e22d3fcd/JP2011-640379.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/dcd6890cc735/JP2011-640379.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/516e9374123d/JP2011-640379.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/45d46cf141b2/JP2011-640379.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/0c12bc43f36f/JP2011-640379.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/8489f082c8c6/JP2011-640379.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/90c932bb9687/JP2011-640379.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f48/3139180/8ca5807b52f4/JP2011-640379.010.jpg

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