A Retrospective Review of Decision to Delivery Time Interval for Foetal Distress at a Central Hospital

Figures & data

Figure 1 Summary of collected data.

Figure 2 Study methodology.

Table 1 Characteristics of the Mothers

Characteristics	Mean	SD
Age (years)	28.5	6.9
Gestational age (weeks)	37.9	3.0
Parity	Number	Percentage
Nulliparous	165	41.8
Primiparous	116	29.4
Multiparous	110	27.8
Grand-multiparous	4	1.0
Additional indications
Previous caesarean deliveries	35	8.9
Pre-eclampsia	34	8.6
Cephalopelvic disproportion	20	5.1
Meconium stained liquor and poor progress	14	3.5
Failed augmentation of labour	13	3.3
Prolonged latent or active phase of labour	11	2.8
Diabetes mellitus	9	2.3
Breech	6	1.5
Imminent eclampsia	5	1.3
HELLP syndrome	1	0.6
Eclampsia	1	0.6
Placental abruption	1	0.6
Antepartum haemorrhage	1	0.6
Other	7	2.3
Anaesthetic technique
Neuraxial anaesthetic	368	93.2
General anaesthetic	27	6.8

Table 2 Trajectory from Decision to Delivery Time Interval

Time Interval	Time in Minutes
	Median (IQR)	Min	Max
Decision to arrival in theatre	273 (152–547)	5	1405
Decision to anaesthesia	293 (170–573)	2	1430
Arrival in theatre to anaesthesia	15 (10–20)	0	45
Anaesthesia start to cut time	15 (12–20)	1	42
Decision to delivery	316 (188–585)	37	1435

Table 3 Decision to Delivery Time Intervals

DDI (Minutes)	Number	Percentage
≤30	0	0.0
31–60	4	1.0
61–90	14	3.5
91–120	17	4.3
121–150	33	8.4
151–180	23	5.8
181–210	30	7.6
211–240	18	4.6
≥240	256	64.8

Table 4 The 5-Minute and 10-Minute Apgar Scores

Apgar Score	5-Minute		10-Minute
	Number	Percentage	Number	Percentage
10	18	4.6	318	80.5
9	259	65.6	55	13.9
8	60	15.2	7	1.8
7	22	5.6	6	1.5
6	20	5.1	0	0.0
5	4	1.0	0	0.0
4	2	0.5	2	0.5
3	1	0.3	2	0.5
2	2	0.5	2	0.5
1	2	0.5	0	0.0
0	5	1.3	3	0.6

Table 5 Comparisons Between Variables for Neuraxial and General Anaesthetic

Variable	Type of Anaesthetic		P-value
	Neuraxial	General
	Median (IQR)
Anaesthetic start to cut time (min)	15 (12–20)	6 (2–25)	0.0110
5-minute Apgar	9 (8–9)	8 (6–9)	0.0002
10-minute Apgar	10 (10–10)	10 (9–10).	0.0175