Department of Midwifery, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
School of Health Sciences, College of medicine and health science, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Pregnancy Childbirth. 2021 Mar 20;21(1):224. doi: 10.1186/s12884-021-03706-8.
Emergency cesarean section is a commonly performed surgical procedure in pregnant women with life-threatening conditions of the mother and/or fetus. According to the Royal College of Obstetricians and Gynecologists and the American College of Obstetricians and Gynecologists, decision to delivery interval for emergency cesarean sections should be within 30 min. It is an indicator of quality of care in maternity service, and if prolonged, it constitutes a third-degree delay. This study aimed to assess the decision to delivery interval and associated factors for emergency cesarean section in Bahir Dar City Public Hospitals, Ethiopia.
An institution-based cross-sectional study was conducted at Bahir Dar City Public Hospitals from February to May 2020. Study participants were selected using a systematic random sampling technique. A combination of observations and interviews was used to collect the data. Data entry and analysis were performed using Epi-data version 3.1 and SPSS version 25, respectively. Statistical significance was set at p < 0.05.
Decision-to-delivery interval below 30 min was observed in 20.3% [95% CI = 15.90-24.70%] of emergency cesarean section. The results showed that referral status [AOR = 2.5, 95% CI = 1.26-5.00], time of day of emergency cesarean section [AOR = 2.5, 95%CI = 1.26-4.92], status of surgeons [AOR = 2.95, 95%CI = 1.30-6.70], type of anesthesia [AOR = 4, 95% CI = 1.60-10.00] and transfer time [AOR = 5.26, 95% CI = 2.65-10.46] were factors significantly associated with the decision to delivery interval.
Decision-to-delivery intervals were not achieved within the recommended time interval. Therefore, to address institutional delays in emergency cesarean section, providers and facilities should be better prepared in advance and ready for rapid emergency action.
紧急剖宫产术是一种在孕妇出现危及母亲和/或胎儿生命的情况下经常进行的手术。根据皇家妇产科医师学院和美国妇产科医师学会的规定，紧急剖宫产的分娩决策间隔应在 30 分钟内。这是产妇服务质量的一个指标，如果时间延长，则构成第三度延误。本研究旨在评估埃塞俄比亚巴赫达尔市公立医院紧急剖宫产的分娩决策间隔及其相关因素。
本研究为 2020 年 2 月至 5 月在巴赫达尔市公立医院进行的基于机构的横断面研究。采用系统随机抽样技术选择研究对象。采用观察和访谈相结合的方法收集数据。使用 EpiData 版本 3.1 和 SPSS 版本 25 分别进行数据录入和分析。设定统计显著性水平为 p<0.05。
在 20.3%（95%置信区间[CI] = 15.90-24.70%）的紧急剖宫产中，分娩决策间隔低于 30 分钟。结果表明，转诊状态（AOR=2.5，95%CI=1.26-5.00）、紧急剖宫产时间（AOR=2.5，95%CI=1.26-4.92）、外科医生状态（AOR=2.95，95%CI=1.30-6.70）、麻醉类型（AOR=4，95%CI=1.60-10.00）和转院时间（AOR=5.26，95%CI=2.65-10.46）与分娩决策间隔显著相关。
分娩决策间隔未达到推荐的时间间隔。因此，为了解决紧急剖宫产中的机构延误问题，提供者和医疗机构应提前做好更好的准备，并为快速紧急行动做好准备。
