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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729006/
Dec 07, 2017 · The delivery decision interval for caesarean section at KCMC is 60 min, which is longer than the recommended standard interval. The DDI was influenced by decision to anesthesia time, anesthesia to delivery of baby, prolonged labor and hypertension disorders.Author: Birjna A. Hirani, Bariki L. Mchome, Nicholaus S. Mazuguni, Michael J. Mahande
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783908/
Apr 13, 2017 · The existing recommendations of decision delivery interval can raise many medico-legal issues and impose great pressure on the health facility to deliver a baby in less than 30 min in all emergency caesarean sections. Our study highlights the need of clear categorization of the indications of caesarean section as emergency or urgent.Author: Nalini Mishra, Ruchi Gupta, Nomita Singh
https://www.ncbi.nlm.nih.gov/pubmed/29212457
Dec 07, 2017 · BACKGROUND: Decision delivery interval (DDI) is the time line between a decision to conduct an emergency caesarean section and actual delivery of the baby. Prolong DDI constitute a third phase delay in provision of emergency obstetric care.Author: Birjna A. Hirani, Bariki L. Mchome, Nicholaus S. Mazuguni, Michael J. Mahande
https://www.aerzteblatt.de/int/archive/article/193157
Adecision-to-delivery interval (DDI) of 20 minutes has been a quality indicator for emergency cesarean sections in the statutory quality assurance program in Germany for years (1), but scientific evidence to support this threshold value is spare (2).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139180/
Jul 13, 2011 · RCOG/NICE guidelines recommend that, for fetal compromise in labour, delivery should be accomplished ideally within 30 minutes. In this study, we investigated the factors which affect the decision-to-delivery (DD) intervals for emergency caesareans.Author: Aiste Cerbinskaite, Sarah Malone, Jennifer McDermott, Andrew D. Loughney
https://www.mdedge.com/obgyn/article/62286/obstetrics/crash-cesarean-section-what-your-decision-delivery-time
Hillemanns P, Hasbargen U, Strauss A, Schulze A, Genzel-Boroviczeny O, Hepp H. Maternal and neonatal morbidity of emergency cesarean sections with a decision to delivery interval under 30 minutes. Arch Gynecol Obstet. 2003;268:136-141.
https://www.bmj.com/content/322/7298/1330
Jun 02, 2001 · Objectives: To audit interval from decision to delivery in urgent caesarean section to determine whether the current standard of 30 minutes is achievable routinely; to determine whether delay leads to an excess of admissions to special care. Design: Three audit cycles over four years followed by a continuous audit over 32 months.Author: Derek J Tuffnell, Kath Wilkinson, Nicola Beresford
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4163209/
The decision-to-delivery interval (DDI) is defined as the interval in minutes from the date and time of decision to carry out Caesarean section to the date and time of delivery of the baby. ,7 It is not synonymous with decision-to-incision time where the goal of the birth of a baby is yet to be achieved.
https://www.rcog.org.uk/globalassets/documents/guidelines/goodpractice11classificationofurgency.pdf
B. To formalise the concept that urgency of caesarean section represents a continuum of risk: ● this variance in degree of risk requires an individual, case-by-case approach in deciding the specific decision-to-delivery interval (DDI).
https://www.medindia.net/news/Caesarean-Births-can-Be-Reduced-by-Computer-Based-Decision-Analysis-21558-1.htm
Researchers have developed a computerised decision analysis programme that might help cut the number birth by caesarean section.
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