Decision-To-Delivery Interval In Non-Elective Caesarean Section: Is It Optimal In Our Hospitals

الموضوعات

طب

الملخص

Objectives: To study the time interval from decision to delivery ofthe baby (DDI) in non ELC/S, factors influencing this period of time, and it'sreflection on early neonatal and maternal outcome.Settings: Main capital hospitals, Khartoum Teaching Hospital(KTH), Omdurman Maternity Hospital (OMH), Khartoum North TeachingHospital (KNTH), Soba University Hospital (SUH).Subjects: 323 non ELC/S done in the period from 1st Jan. to 31stJan.2003.Results: DDI found to be, 46 minutes (mean) for 273 (84%) EmC/S,20.5 minutes (mean) for (9%) crash C/S, 66.5 minutes (mean) for 21(7%)urgent C/S. Percentage achievement of DDI 0.05)but not affecting the early neonatal and maternal out come, seniority of theoperator was also found to affect the DDI (SUH) and the differencebetween non EIC/S DDI done by registrar and that done by house-officerwas statistically significant also (P > 0.05) but also not affecting theoutcome.Early neonatal outcome in EmC/S group (273) we had one ENNDand 272 were in good condition, 11(4%) were admitted in NICU anddischarged in good condition, Apgar score at 1 min 7 =272, average weight 3.1kg. In the crash C/S 29(9%) Apgarscore at 1 myn 7 =29, no admission in NICUaverage weight 2.9 kg. For urgent C/S 21(7%), Apgar score at 1 min 7 =21, admission to NICU were 4(19%) of theurgent group. Discharged in good condition average weight 2.8kg. Withregard to maternal outcome all were favourable all 323 non EIC/S recoversmoothly from anaesthesia (where G.A was used in 83%). Day threematernal haemoglobin was 70% (mean) for the EmC/S, 69% for crash C/S,and 71.5% for the urgent C/S. The need for maternal blood transfusionwas like that, 3.2% for EmC/S [273 (84%)], 6.8% of the crash C/S [29(9%)], and 0% for urgent C/S [21 (7%)].Conclusion: In 323 non EIC/S, 48% were done in less than or equal30 minutes. Short-term neonatal and maternal outcome was favourable.

روابط وملفات

التعريف والنوع

رقم الوثيقة

0ca16d80-6f74-4fcc-86d8-5ff0a35eebef

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1638324_1.pdf

بيانات النشر

ألقاب المؤلفين

[{"name_ar":"Abdel Rahman Yousif Elhag ","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":"Abdel Salam Gerais","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

English

المصدر والدورية

اسم المصدر

Decision-To-Delivery Interval In Non-Elective Caesarean Section: Is It Optimal In Our Hospitals

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

Abdel Salam Gerais

الإعداد

Abdel Rahman Yousif Elhag

الاقتباسات الببليوغرافية