Document Detail

Decision-to-delivery interval for emergency caesareans in the Aurore perinatal network.
MedLine Citation:
PMID:  20079963     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine the interval between decision and delivery (DDI) for urgent and very urgent caesarean deliveries within a perinatal network, to compare the results according to maternity ward level and organisation, and to assess the impact of DDI on neonatal outcome. STUDY DESIGN: Prospective observational study in the 31 maternity units of the Aurore perinatal network (17 Level I, 12 Level II, and two Level III). The obstetric team defined the degree of urgency for the caesareans, measured the DDI, and reported neonatal outcome. RESULTS: The study includes 666 unplanned caesarean sections. The median DDI for emergency caesareans (n=365) was 48 min for Level I units, 40 min for Level II, and 22 min for Level III (P<0.05). For the very urgent caesareans (n=82), the median DDI was respectively 35, 24, and 13 min (P<0.05) and the percentage with a DDI<or=30 min were 45%, 62%, and 100% (P<0.05). The proportion of DDI<or=30 min was 0% in maternity units where obstetricians and anaesthetists were not always onsite, 67% when only the anaesthetist was always present (P<0.05) and 88% for units where both were always present. The neonate's condition did not differ significantly according to DDI. CONCLUSIONS: DDI varies very substantially according to the level and organisation of the maternity units in the Aurore network. It was not significantly correlated with neonatal outcome in our population.
Cyril Huissoud; Corinne Dupont; Florence Canoui-Poitrine; Sandrine Touzet; Gil Dubernard; Ren?-Charles Rudigoz
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2010-01-15
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  149     ISSN:  1872-7654     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-08     Completed Date:  2010-06-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  159-64     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Hospices Civils de Lyon Service de Gyn?cologie-Obst?trique, H?pital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France.
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MeSH Terms
Cesarean Section / methods*
Delivery, Obstetric / methods
Fetal Distress / diagnosis
France / epidemiology
Infant Mortality
Infant, Newborn
Obstetrics and Gynecology Department, Hospital / organization & administration*
Pregnancy Outcome
Pregnancy, Multiple
Prospective Studies
Time Factors

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