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[Emergency Cesarean section--basic data].

V M Roemer1, G Heger-Römermann

  • 1Frauenklinik des Kreiskrankenhauses, Detmold.

Zeitschrift Fur Geburtshilfe Und Perinatologie
|May 1, 1992
PubMed
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This study of emergency caesarean-sections (ECS) found significant time delays from decision to surgery. While severe neonatal acidosis wasn't directly linked to delays, further analysis is needed for high-risk deliveries.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Health Services Research

Context:

  • Emergency caesarean-section (ECS) management in North-Rhine-Westfalia.
  • Multicenter study involving 66 clinics.
  • Analysis of 207 emergency caesarean-section cases.

Purpose:

  • To evaluate time intervals in emergency caesarean-sections (ECS).
  • To assess neonatal outcomes, including umbilical artery pH and Apgar scores.
  • To determine perinatal mortality rates associated with ECS.

Summary:

  • Average time from decision to surgery (DFOS) was 20.4 minutes; decision to delivery averaged 24.8 minutes.
  • Median umbilical artery pH was 7.169, with 25% below 7.1 and 16% below 7.0.
  • Perinatal mortality was 53.1/1000 (unpurified) and 48.3/1000 (purified); 20.1% of neonates had Apgar scores ≤3.

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Impact:

  • Highlights the need to shorten decision-to-surgery times in ECS.
  • Suggests further investigation into the medical and organizational factors of high-risk deliveries.
  • Indicates a need for improved management protocols to optimize neonatal outcomes in emergency obstetric care.