An Audit of the Decision to Delivery Interval During Emergency Caesarean Section at Mansa General Hospital, Zambia
Abstract
Background Emergency caesarean section can be a lifesaving procedure for both the mother and the baby. The time it takes between the decision to perform a caesarean section and the time the baby is delivered is known as the decision to delivery interval. The standard of a decision to delivery interval of 30 minutes has not failed to attract controversy. Many argue that assessing the decision to delivery interval alone without an analysis of other factors that may contribute to early perinatal morbidity and mortality may be flawed. Ostensibly, the decision to delivery interval falls within the bracket of the third delay and at Mansa General Hospital, Luapula province of Zambia, there have been attempts to associate obstetric outcomes with the decision to delivery interval. We conducted an audit of the emergency caesarean sections at Mansa General Hospital in Zambia and the factors associated with the decision to delivery. The aim of the study was to describe the factors associated with the decision to delivery interval during emergency caesarean section at Mansa General Hospital in Zambia. Material and Methods Using a cross sectional study, we enrolled, a total of 209 pregnant women who were indicated for emergency caesarean section. Data was collected from patients
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