{
    "abstract": "When there is an immediate threat to maternal or fetal life, it is recommended to deliver within 30\u2009min of the decision to have favorable perinatal outcomes. However, there is no data on the delivery intervals for Category-I emergency cesarean section in Bhutan. The study evaluated the decision to\u00a0delivery interval (DDI)\u00a0and its effect on perinatal and maternal outcomes in Category-I emergency cesarean section.\nA retrospective cross-sectional study was conducted at the Phuentsholing General Hospital, Bhutan, from January 1, 2020\u00a0to December 31, 2020. Mothers who underwent Category-I emergency cesarean section were included. The demographic variables, patient transfer time, anesthesia time, operation time, DDI, and maternal and perinatal outcomes were recorded in a standard proforma. The data were analyzed using SPSS version 23.\nOf 78 Category-I emergency cesarean sections, only 23 (29.5%) of the cases were able to perform within 30\u2009min of the DDI. The median (interquartile range) DDI\u00a0was 37 (30-44)\u2009min. More time was taken by anesthetists to administer anesthesia (20 [15-8]\u2009min). Fetal distress (40, 51.3%) was the commonest indication. The longest DDI was around 39\u2009min for prolonged labor, and the shortest was 26\u2009min for failed instrumental delivery. Over half of the newborns delivered more than 30\u2009min of DDI had low APGAR scores (25, 32.1%) at 1\u2009min and meconium was present (23, 29.5%). Intensive care was required in 11 (14.1%), of which there was 1 (1.3%) neonatal death.\nThe Category-I emergency cesarean sections performed within recommended DDI of 30\u2009min were much less. The main delay was due to the longer time taken for the patient transfer and time taken by the anesthetists to administer anesthesia. Perinatal outcomes were favorable when the deliveries were conducted within 30\u2009min of DDI.",
    "authors": [
        {
            "affiliation": "Gynaecology Unit Phuentsholing General Hospital Chukha Bhutan.",
            "firstname": "Yeshey",
            "initials": "Y",
            "lastname": "Dorjey"
        },
        {
            "affiliation": "Phuentsholing General Hospital Chukha Bhutan.",
            "firstname": "Yezer",
            "initials": "Y",
            "lastname": "Tshomo"
        },
        {
            "affiliation": "Phuentsholing General Hospital Chukha Bhutan.",
            "firstname": "Dorji",
            "initials": "D",
            "lastname": "Wangchuk"
        },
        {
            "affiliation": "Phuentsholing General Hospital Chukha Bhutan.",
            "firstname": "Purushottami",
            "initials": "P",
            "lastname": "Bhandari"
        },
        {
            "affiliation": "Phuentsholing General Hospital Chukha Bhutan.",
            "firstname": "Choki",
            "initials": "C",
            "lastname": "Dorji"
        },
        {
            "affiliation": "Phuentsholing General Hospital Chukha Bhutan.",
            "firstname": "Diptika",
            "initials": "D",
            "lastname": "Pradhan"
        },
        {
            "affiliation": "Phuentsholing General Hospital Chukha Bhutan.",
            "firstname": "Rinzin",
            "initials": "R",
            "lastname": "Pemo"
        }
    ],
    "conclusions": "The Category-I emergency cesarean sections performed within recommended DDI of 30\u2009min were much less. The main delay was due to the longer time taken for the patient transfer and time taken by the anesthetists to administer anesthesia. Perinatal outcomes were favorable when the deliveries were conducted within 30\u2009min of DDI.",
    "copyrights": "\u00a9 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC.",
    "doi": "10.1002/hsr2.1050\n10.1016/j.ajog.2014.01.007\n10.1080/11101849.2020.1782138\n10.1016/j.jss.2010.03.009\n10.1016/j.bjid.2014.09.009",
    "journal": "Health science reports",
    "keywords": [
        "anesthesia",
        "cesarean section",
        "complications",
        "emergency care",
        "perinatal mortality"
    ],
    "methods": null,
    "publication_date": "2023-01-12",
    "pubmed_id": "36628106\n15023829\n24565432\n33264691\n29212457\n29372149\n33953613\n33743626\n15063957\n33891311\n16044190\n15294363\n28413274\n32183720\n35467770\n19444562\n27515180\n33259634\n30575675\n19190880\n20655062\n25529364\n30499252",
    "results": "Of 78 Category-I emergency cesarean sections, only 23 (29.5%) of the cases were able to perform within 30\u2009min of the DDI. The median (interquartile range) DDI\u00a0was 37 (30-44)\u2009min. More time was taken by anesthetists to administer anesthesia (20 [15-8]\u2009min). Fetal distress (40, 51.3%) was the commonest indication. The longest DDI was around 39\u2009min for prolonged labor, and the shortest was 26\u2009min for failed instrumental delivery. Over half of the newborns delivered more than 30\u2009min of DDI had low APGAR scores (25, 32.1%) at 1\u2009min and meconium was present (23, 29.5%). Intensive care was required in 11 (14.1%), of which there was 1 (1.3%) neonatal death.",
    "title": "Evaluation of decision to delivery interval and its effect on feto-maternal outcomes in Category-I emergency cesarean section deliveries in Phuentsholing General Hospital, 2020: A retrospective cross-sectional study.",
    "xml": "<Element 'PubmedArticle' at 0x788506314b80>"
}