Assess decision-to-delivery interval and associated factors among mothers who underwent emergency cesarean section at selected public hospitals of Addis Ababa City, Ethiopia,2023.
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Date
2023
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Addis Ababa University
Abstract
Background: DDI for ECS is a matter of quality obstetrics care service. Unnecessary delays may
end up in morbidity or mortality of the mother and/or the fetus. Therefore, the delivery interval must
be within a reasonable time and the recommended one is within 30 minutes. The study area lacks
information.
Objective: Determine DDI and associated factors among mothers who underwent emergency
cesarean section in the chosen governmental institutions of Addis Ababa City, Ethiopia, 2023.
Method: A cross-sectional study was carried out in governmental hospitals of Addis Ababa city with total
sample size of 348. Each respondent was recruited by means of probability sampling technique. The
information was gathered based on the pilot study of interviewer-administered tool and document
review after written consent secured from every respondent. The gathered information’s were coded
and entered in Epi-data version 4.6.0.6 and analyzed using SPSS version 26. The binary logistic
regression method was employed to detect risk factors related to crash c/s. Statistically, significance
was determined by a P-value of less ≤ 0.05.
Result: The total magnitude of DDI that was done within the recommended period was 23% [
95% CI (18.9-27.6] and the Median time was 45(7-155) min. Fetal distress was the most
common indication for ECS. The following factors were significantly linked to the decision-to-
delivery interval: surgeon status [25.019;95% CI (10.602,59.037], indications other than fetal
distress [AOR = 2.775; 95% CI (1.395,5.518], type of anesthesia [AOR=13.597;95% CI
(4.969,37.209].
Conclusion: The study finding indicates that the magnitude of the crash c/s for ECS according to
the international recommended time interval was very low. Therefore, hospitals and obstetric care
providers should be alert and conscious of immediate life-threatening conditions
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Keywords
Crash, decision-incision time, Mothers, Ethiopia