Hubungan Response Time Seksio Sesarea Emergensi Kategori 1 dengan Luaran Perinatal di RSUP Dr.Sardjito

https://doi.org/10.22146/jkr.37997

Tri Gunawan(1*), Ahsanudin Attamimi(2), Heru Pradjatmo(3)

(1) Departemen Obstetri dan Ginekologi, FK-KMK, UGM
(2) Departemen Obstetri dan Ginekologi, FK-KMK, UGM
(3) Departemen Obstetri dan Ginekologi, FK-KMK, UGM
(*) Corresponding Author

Abstract


Background: Caesarean section is often applied as a preventif efoort against the continued effects of perinatal asphyxia. The cesarean section (SC) in pregnant woman can be performed in a planned manner with various indications or performed by emergency (emergency) on maternal or fetal indications and or both.

Objective: To study the association of response time in category I emergency caesarean section with perinatal outcomes in Dr. Sardjito hospital and the average response time of category 1 emergency cesarean section in Dr. Sardjito hospital.

Method: This study uses retrospective cohort. Category 1 CS with an indication of fetal accordance with the inclusion criteria was recorded from 1st January 2012 until 31th July 2016, then we find the response time mean as the cut off point of this study to compare with their perinatal outcomes.

Result and Discussion: There were 155 cases out of 386 of emergency CS category 1 met the inclusion criteria during the period 1st January 2012 to 31th July 2016. From the data obtained, the average response time of category 1 emergency CS was 115±52 minutes (35 - 360 minutes). We found no significant differences in perinatal outcomes in the group’s response time ≥115 minutes with a value of p>0.05 on the Apgar score, CPAP, infant mortality, ventilator, NICU care, MAS and HIE than those category 1 emergency CS with a response time <115 minutes. From multivariate analysis, general anaesthesia was statistically significant against perinatal outcomes Apgar score <7 at 5 minutes with (p=0.044). Prematurity in the multivariate analysis was statistically significant against perinatal outcomes Apgar score ≤3 at 1 minute with (p=0.040), Apgar score <7 at 5 minutes with (p=0.025) and the use of CPAP with (p=0.009).

Conclusions: Response time category 1 emergency cesarean section in this study did not affect perinatal outcomes. General anesthesia effect on perinatal outcomes Apgar score <7 at 5 minutes, whereas the prematurity effect on perinatal outcomes Apgar score ≤3 at 1 minute, Apgar score <7 at 5 minutes and the use of CPAP.

Keywords: category 1 emergency caesarean section, response time, fetal distress


Keywords


category 1 emergency caesarean section; response time; fetal distress; seksio sesarea emergensi kategori 1;

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References

National Collaborating Centre for Women’s and Children’s Health. Caesarean Section. NICE Clinical Guideline 2011; 282.

Zhang Q, Dunn CN, Sia JT, Sng BL. Category one caesarean section: a team based approach. Trends in Anaesthesia and Critical Care 2014; Vol 4(4): 97– 101.

Helmy WH, Jolaoso AS, Ifaturoti OO, Afify SA, Jones MH. The decision-to-delivery interval for emergency caesarean section: is 30 minutes a realistic target?. BJOG: An International Journal of Obstetrics and Gynaecology 2002; Vol 109(5): 505–508.

Onah HE, Ibeziako N, Umezulike AC, Effetie ER, Ogbuokiri CM. Decision-delivery interval & perinatal outcome in emergency caesarean section. J Obstet Gynaecol 2005; Vol 25 (4): 342–346.

Tuffnell DJ, Wilkinson K, Beresford N. Interval between decision and delivery by caesarean section-are current standards achievable? Observational case series. BMJ (Clinical research ed.) 2001; Vol 322(7298): 1330–3.

Bloom SL, Leveno KJ, Spong CY, Gilbert S, Hauth JC, Landon MB, Varner MW, Moawad AH, Caritis SN, Harper M, Wapner RJ, Sorokin Y, Miodovnik M, O’Sullivan MJ, Sibai BM, Langer O, Gabbe SG. Decision-to-incision times and maternal and infant outcomes. In: ACOG, Obstet Gynecol 2006; Vol 108(1): 6–11.

Loho R, Siswosudarmo R. 2012. Pengaruh “response time” pada seksio sesarea emergensi terhadap luaran kehamilan di RS Sardjito, Tesis PPDS I Obstetrika dan Ginekologi Fakultas Kedokteran UGM. Yogyakarta.

Beckmann M, Calderbank S. 2012. Mode of anaesthetic for category 1 caesarean sections and neonatal outcomes. Aust N Z J Obstet Gynaecol 2012; Vol 52(4):316–320.

Loftin RW, Habli M, Snyder CC, Cormier CM, Lewis DF, DeFranco EA. 2010. Late Preterm Birth. Reviews in Obstetrics and Gynecology 2010; Vol 3(1): 10–19.

Roy KK, Baruah J, Kumar S, Deorari AK, Sharma JB, Karmakar D. 2010. Cesarean section for suspected fetal distress, continuous fetal heart monitoring and decision to delivery time. Indian Journal of Pediatrics 2008; Vol 75(385): 1249–1252.



DOI: https://doi.org/10.22146/jkr.37997

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