Hubungan Seksio Sesarea Crash dengan Luaran Maternal di RSUP Dr.Sardjito

https://doi.org/10.22146/jkr.94728

Oky Ardian Satriagraha(1*), Shinta Prawitasari(2), Rukmono Siswishanto(3)

(1) Departemen Obstetri dan Ginekologi FKKMK UGM
(2) Departemen Obstetri dan Ginekologi FKKMK UGM
(3) Departemen Obstetri dan Ginekologi FKKMK UGM
(*) Corresponding Author

Abstract


Background: Crash caesarean section is performed because there is a life-threatening condition to the mother or fetus. The duration between a decision is made to perform a caesarean section until delivery the baby is termed decisions to delivery interval (DDI) or response time. Response time of 30 minutes from the decision to baby delivered is considered to prevent complications and worsen maternal conditions.

Objective: To assess the relationship between response time in crash caesarean section with maternal outcome at Dr. Sardjito Hospital.

Method: This study was cross sectional method using secondary data from the medical record. The subjects were all pregnant women who underwent crash caesarean section and met the inclusion criteria from January 2021 to December 2022 at Dr. Sardjito Hospital.

Results and Discussion: There were 38 cases that met the criteria from 114 cases of crash caesarean section during the period January 2021 to December 2022. From the data obtained, response time of £ 30 minutes was 4 (10,5%) cases and response time > 30 minutes was 34 (89,5%) %) cases. There was no significant relationship between the duration of response time and the maternal outcomes of ICU care, blood transfusion, length of hospital stay, or surgical wound infection (p>0,05). From bivariate analysis, maternal outcomes ICU care was statistically significant relationship of preoperative Hb level <8 g/dL (p=0,003; RR 2,500; 95% CI 1,613-3,875) and severe antepartum hemorrhage (p=0,000; RR 9,880; 95% CI 1,484-65,787). From bivariate analysis, severe antepartum hemorrhage was statistically significant against maternal outcomes blood transfusion (p=0,000; RR 2,600; 95% CI 1,307-5,171).

Conclusion: There was no relationship between the duration of response time for crash caesarean section based on maternal indications with maternal outcomes (ICU care, blood transfusion, length of hospital stay, and surgical wound infections) at Dr. Sardjito Hospital. There is a significant relationship between severe antepartum hemorrhage with maternal outcomes of ICU care and blood transfusion.

 

Keywords: crash caesarean section, response time, DDI, maternal outcome

Keywords


seksio sesarea crash; response time; DDI; luaran maternal

Full Text:

PDF


References

  1. Betrán, A.P., Ye, J., Moller, A.B., Zhang, J., Gülmezoglu, A.M., Torloni, M.R. The increasing trend in caesarean section rates: Global, regional and national estimates: 1990-2014. PLoS One. 2016 Feb 1;11(2).
  2. Dorjey, Y., Tshomo, Y., Wangchuk, D., Bhandari, P., Dorji, C., Pradhan, D., et al. Evaluation of decision to delivery interval and its effect on feto-maternal outcomes in Category-I emergency cesarean section deliveries in Phuentsholing General Hospital, 2020: A retrospective cross-sectional study. Health Sci Rep. 2023 Jan 1;6(1).
  3. Leung, T.Y., Lao, T.T. Timing of caesarean section according to urgency. Best Pract Res Clin Obstet Gynaecol [Internet]. 2013;27(2):251–67. Available from: http://dx.doi.org/10.1016/j.bpobgyn.2012.09.005
  4. Gupta, S., Naithani, U., Madhanmohan, C., Singh, A., Reddy, P., Gupta, A. Evaluation of decision-to-delivery interval in emergency cesarean section: A 1-year prospective audit in a tertiary care hospital. J Anaesthesiol Clin Pharmacol. 2017 Jan 1;33(1):64–70.
  5. Pallasmaa, N., Ekblad, U., Aitokallio-Tallberg, A., Uotila, J., Raudaskoski, T., Ulander, V.M., et al. Cesarean delivery in Finland: Maternal complications and obstetric risk factors. Acta Obstet Gynecol Scand. 2010 Jul;89(7):896–902.
  6. Bloom, S.L., Leveno, K.J., Spong, C.Y., Gilbert, S., Hauth, J.C., Landon, M.B., et al. Decision-to-Incision Times and Maternal and Infant Outcomes. Obstet Gynecol. 2006;108(1):6–11.
  7. Staboulidou, I., Beslic, J., Kuehnle, E., v Kaisenberg, C., Hillemanns, P., Schippert, C. Neonatal and Maternal Short-Term Outcome after Emergency Caesarean Section in Comparison to Elective and Second Stage Caesareans: Results of A Retrospective 10-Year Survey. Int J Womens Health Wellness. 2018 Dec 31;4(2).
  8. Berguna, J.S.N., Basabih, M. Evaluation of Decision-to-Delivery Interval and Its Effect on Maternal and Neonatal Outcomes in Category-1 and Category-2 Emergency Caesarean Section Deliveries: A Systematic Review. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit). 2023 Aug 8;12(2):233–52.
  9. Gunawan, T., Attamimi, A., Pradjatmo, H. Hubungan Response Time Seksio Sesarea Emergensi Kategori 1 Dengan Luaran Perinatal di RSUP Dr. Sardjito. Vol. 5, Jurnal Kesehatan Reproduksi. 2018.
  10. Kitaw, T.M., Limenh, S.K., Chekole, F.A., Getie, S.A., Gemeda, B.N., Engda, A.S. Decision to delivery interval and associated factors for emergency cesarean section: a cross-sectional study. BMC Pregnancy Childbirth. 2021 Dec 1;21(1).
  11. Mardiawan, D., Prawitasari, S. Achievement of decision-to-delivery interval in emergency cesarean section category 1 during the COVID-19 pandemic: a scoping review. Vol. 12, Bali Medical Journal. Sanglah General Hospital; 2023. p. 838–42.
  12. Chow, K.M., Mak, S.L. Maternal and Fetal Outcomes in Extremely Urgent Caesarean Delivery in Relation to the Decision-to-delivery Interval. Vol. 15, Hong Kong J Gynaecol Obstet Midwifery. 2015.
  13. Wang, Y., Liu, D., Wu, X., Zheng, C., Chen, X. Effect of in situ simulation training for emergency caesarean section on maternal and infant outcomes. BMC Med Educ. 2023 Dec 1;23(1).
  14. Fuhrmann L, Pedersen TH, Atke A, Møller AM, Ostergaard D. Multidisciplinary team training reduces the decision-to-delivery interval for emergency Caesarean section. Acta Anaesthesiol Scand. 2015 Nov 1;59(10):1287–95.
  15. Ganap, E.P., Hakimi, M., Hadijono, S., Emilia, O. Impact Of Obstetrician/Gynecologist Hospitalists On Response Time Of Obstetric Emergency Operation In Sardjito General Hospital Yogyakarta Indonesia: A Retrospective Cohort Study. 2016.
  16. Hillemanns, P., Hasbargen, U., Strauss, A., Schulze, A., Genzel-Boroviczeny, O., Hepp, H. Maternal and neonatal morbidity of emergency caesarean sections with a decision-to-delivery interval under 30 minutes: Evidence from 10 years. Arch Gynecol Obstet. 2003 Aug;268(3):136–41.
  17. Gelebo, K.G., Neme, D., Destaw, B., Aweke, Z., Kasa, S.M. The effect of preoperative anemia on perioperative outcomes among patients undergoing emergency surgery: A multicenter prospective cohort study. Heliyon. 2023 Jul 1;9(7).
  18. Shaikh, A.G., Shaikh, V.F., Nasim, M.T., Farid, E., Ali, S.A., Azim, D., et al. Risk Factors for Blood Transfusion during Caesarean Section. Pakistan Journal of Medical and Health Sciences. 2022 Apr 26;16(4):339–42.
  19. Akinlusi, F.M., Rabiu, K.A., Durojaiye, I.A., Adewunmi, A.A., Ottun, T.A., Oshodi, Y.A. Caesarean delivery-related blood transfusion: Correlates in a tertiary hospital in Southwest Nigeria. BMC Pregnancy Childbirth. 2018 Jan 10;18(1).



DOI: https://doi.org/10.22146/jkr.94728

Article Metrics

Abstract views : 114 | views : 50

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Kesehatan Reproduksi Indexed by:

 

 



SEKRETARIAT JURNAL KESEHATAN REPRODUKSI
Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043