Indian Journal of Anaesthesia  
About us | Editorial board | Search | Ahead of print | Current Issue | Past Issues | Instructions
Home | Login  | Users Online: 1604  Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size    

Year : 2016  |  Volume : 60  |  Issue : 8  |  Page : 546-551

Evaluation of timings and outcomes in category-one caesarean sections: A retrospective cohort study

1 Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
2 Sing Health Anaesthesiology Residency Programme, Singapore Health Services, Singapore
3 International Bacclaureate Diploma Programme, Anglo-Chinese School (Independent), Singapore
4 Centre for Quantitative Medicine, Duke NUS Graduate Medical School; Department of Biostatistics, Singapore Clinical Research Institute, Singapore
5 Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore
6 Department of Women's Anaesthesia, KK Women's and Children's Hospital; Anaesthesiology Program, ?Duke NUS Graduate Medical School, Singapore

Correspondence Address:
Ban Leong Sng
Department of Women's Anaesthesia, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5049.187782

Clinical trial registration NCT02314078

Rights and Permissions

Background and Aims: A decision-to-delivery interval (DDI) of 30 min for category-one caesarean section (CS) deliveries is the standard of practice recommended by clinical guidelines. Our institution established a protocol for category-one ('crash') CS to expedite deliveries. The aim of this study is to evaluate DDI, factors that affect DDI and the mode of anaesthesia for category-one CS. Methods: This retrospective cohort study evaluated 390 women who underwent category-one CS in a tertiary obstetric centre. We analysed the factors associated with DDI, mode of anaesthesia and perinatal outcomes. Summary statistics were performed for the outcomes. The association factors were considered significant at P < 0.05. Results: The mean (standard deviation) DDI was 9.4 (3.2) min with all deliveries achieved within 30 min. The longest factor in the DDI was time taken to transfer patients. A shorter DDI was not significantly associated with improved perinatal outcomes. The majority (88.9%) of women had general anaesthesia (GA) for category-one CS. Of those who had an epidural catheter already in situ (34.4%), 25.6% had successful epidural extension. GA was associated with shorter DDI, but worse perinatal outcomes than regional anaesthesia (RA). Conclusions: Our 'crash' CS protocol achieved 100% of deliveries within 30 min. The majority (88.9%) of the patients had GA for category-one CS. GA was found to be associated with shorter anaesthesia and operation times, but poorer perinatal outcomes compared to RA.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded453    
    Comments [Add]    
    Cited by others 2    

Recommend this journal