지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 48 - 55 (8page)
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초록· 키워드
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ObjectiveTo determine the decision-to-delivery interval (DDI) in emergency cesarean delivery and associated factors. MethodsA total of 431 pregnant women who were indicated for emergency cesarean delivery were included. Clinical information and timing of process after decision until delivery and pregnancy outcomes were evaluated. ResultsMean age was 30 years, and 59.4% were nulliparous. Mean gestational age at delivery was 37.9 weeks. The decision was made during normal office hour in 33.2%. Median decision-to-operating room interval, decision-to-incision interval, and DDIs were 45, 70, and 82 minutes, respectively. Only 3.5% of patients had DDI ≤30 minutes, while 52.0% had DDI >75 minutes. During after office hours, every time interval was significantly shorter and 4.9% had DDI ≤30 minutes compared to 0.7% in normal office hours (P=0.001). Compared to other indications, time intervals were significantly shorter in those with non-reassuring fetal heart rate (FHR), and DDI ≤30 minutes was achieved in 18.8% vs. 0.8% (P<0.001). Shortest DDI was observed among those with non-reassuring FHR during after office hours. Neonatal outcomes were comparable between different DDIs. ConclusionOnly 3.5% of emergency cesarean delivery had a DDI ≤30 minutes (median 82 minutes). Significant shorter time intervals were observed in those with non-reassuring FHR during after office hours.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
American Academy of Pediatrics / 2002 / Guidelines for perinatal care / American Academy of Pediatrics
Royal College of Obstetrics and Gynaecology / 1995 / Report of a joint working group: organization standards for maternity services
Schauberger CW / 2009 / Emergency cesarean section and the 30-minute rule: definitions / Am J Perinatol 26:221~226
Bruce D / 2002 / Evaluation of emergency caesarean sections--completion of the audit cycle in a Central London teaching hospital / J Obstet Gynaecol 22:273~278
Helmy WH / 2002 / The decision-to-delivery interval for emergency caesarean section: is 30 minutes a realistic target? / BJOG 109:505~508
Royal College of Obstetrics and Gynaecology / 1995 / Report of a joint working group: organization standards for maternity services
Schauberger CW / 2009 / Emergency cesarean section and the 30-minute rule: definitions / Am J Perinatol 26:221~226
Bruce D / 2002 / Evaluation of emergency caesarean sections--completion of the audit cycle in a Central London teaching hospital / J Obstet Gynaecol 22:273~278
Helmy WH / 2002 / The decision-to-delivery interval for emergency caesarean section: is 30 minutes a realistic target? / BJOG 109:505~508
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