A comparative assessment of decision to delivery interval for emergency and urgent lower segment caesarean section following maternal and foetal outcomes

Madhu Shishodiya; Rakhi Sachdev; Pothula Sudheshna Devi; Amrita S. Bhadouriya; Rakhi Basu; Sangeeta Kamra; Shyla Jacob

doi:10.18203/2320-1770.ijrcog20251960

Authors

Madhu Shishodiya Department of Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sevagram, Wardha, Maharashtra, India
Rakhi Sachdev Department of Obstetrics and Gynaecology, Chhattisgarh Institute of Medical Sciences (CIMS), Bilaspur, Chhattisgarh, India
Pothula Sudheshna Devi Department of Obstetrics and Gynecology, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India
Amrita S. Bhadouriya Department of Obstetrics and Gynaecology, F. H. Medical College, Agra, Uttar Pradesh, India
Rakhi Basu Department of Obstetrics and Gynaecology, Gouri Devi Institute of Medical Sciences and Hospital, Durgapur, West Bengal, India
Sangeeta Kamra Department of Obstetrics and Gynecology, Jawaharlal Nehru Hospital and Research Center, SAIL, Bhilai, Chhattisgarh, India
Shyla Jacob Department of Obstetrics and Gynecology, Jawaharlal Nehru Hospital and Research Center, SAIL, Bhilai, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20251960

Keywords:

Decision to delivery interval, Emergency and urgent, Foetal outcome, Lower segment cesarean section, Maternal outcome

Abstract

Background: Background: Timely decision-to-delivery interval (DDI) in lower segment caesarean section (LSCS) is critical for safeguarding maternal and foetal health. This study aimed to measure the DDI and assess its relationship with maternal and foetal outcomes.

Methods: A prospective observational study was conducted among 361 deliveries at a tertiary care hospital in Bhilai, Chhattisgarh. Pregnant women undergoing emergency (Category 1, n=283) and urgent (Category 2, n=78) LSCS were enrolled. Maternal and foetal outcomes were evaluated.

Results: A statistically significant difference was observed between mean DDI values in Category 1 and Category 2 (p<0.02). Maternal outcomes, including postpartum haemorrhage (PPH), post-operative fever, and blood transfusion, were significantly associated with increasing DDI (p<0.0001). A significant difference in neonatal intensive care unit (NICU) admission rates between the two categories was noted (p=0.03). APGAR score comparisons showed significant variations at different DDI intervals: 31–40 vs 51–60 min (p<0.0002), 41–50 min (p<0.00021) for 1-minute scores, and 21–30 min (p<0.028) for 5-minute scores.

Conclusions: While increased DDI correlated with certain adverse maternal and neonatal outcomes (NICU admission and low APGAR scores), no critical maternal or foetal mortality was attributed directly to prolonged DDI.

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