DECISION TO DELIVERY INTERVAL AND ASSOICATED FACTORS IN EMERGENCY CESAREAN DELIVERIES AT A TERTIARY HOSPITAL, IN ADDIS ABABA, ETHIOPIA
Abstract
Background: Emergency cesarean delivery is cesarean delivery done for maternal or fetal life-threatening indications. National Institute for Health and Clinical Excellence (NICE) suggest use of decision to delivery interval of emergency cesarean delivery to measure performance of obstetric unit. This study aims to find the mean decision to delivery interval and evaluate associated factors in Saint Paul’s Hospital Millennium Medical College.
Methods: This is an analytical cross-sectional study done on emergency cesarean deliveries in Saint Paul’s Millennium Medical College. A total of 200 mothers who undergone emergency cesarean delivery were selected from labor ward, emergency ward and recovery during the study period. Data was analyzed by computer-based method using SPSS version 22.0 program. One way ANOVA and Independent T test were used to assess association of decision to delivery interval to associated factors using 95% confidence interval.
Results: The mean decision to delivery interval was 74.74 ± 47.16 minutes. Only 5 (10%) of cesarean deliveries were done within 30 minutes. Factors associated with prolonged decision to delivery interval were less urgent indications for cesarean delivery (P: 0.000.), unavailability of operation material (P: 0.006) and unavailability of operating table (P: 0.001).
Conclusion: the mean decision to delivery interval was longer from other hospitals in the country. Unavailability of Operation Room (OR) material and busy OR table contributed to the prolonged DDI. More urgent indications had significantly low decision to delivery interval.