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 mustbe within a reasonable time and the recommended one is within 30 minutes. The study area lacksinformation.
Objective: Determine DDI and associated factors among mothers who underwent emergencycesarean 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 totalsample size of 348. Each respondent was recruited by means of probability sampling technique. Theinformation was gathered based on the pilot study of interviewer-administered tool and documentreview after written consent secured from every respondent. The gathered information’s were codedand entered in Epi-data version 4.6.0.6 and analyzed using SPSS version 26. The binary logisticregression method was employed to detect risk factors related to crash c/s. Statistically, significancewas 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 mostcommon 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 fetaldistress [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 tothe international recommended time interval was very low. Therefore, hospitals and obstetric careproviders should be alert and conscious of immediate life-threatening conditions
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Keywords
Crash, decision-incision time, Mothers, Ethiopia