Decision-to-delivery interval of emergency cesarean section in Uganda: a retrospective cohort study

Table 3 Indications for emergency cesarean section

Indication for emergency cesarean section	Number (%, n = 344)	Average decision-to-delivery interval	Significance
Previous cesarean section (no suspicion of rupture)	87 (25.3%)	5.1 (3.0–9.4)	0.08
Previous cesarean section (suspicion of rupture)	35 (10.2%)	5.2 (3.3–8.3)	0.19
Obstructed labour	172 (50.0%)	5.5 (3.5–10.7)	0.70
Fetal distress	80 (23.3%)	4.9 (3.3–7.7)	< 0.05*
Malpresentation (54% breech)	26 (7.6%)	4.0 (2.7–7.0)	0.06
Antepartum haemorrhage / placenta praevia / accreta	23 (6.7%)	3.3 (1.9–11.0)	0.34
Preclampsia	21 (6.1%)	8.6 (3.2–17.4)	< 0.05*
Cord prolapse	5 (1.5%)	6.3 (4.9–6.6)	0.65
Other	10 (2.9%)	7.3 (6.0–27.8)	0.07

The number of mothers with each indication for emergency cesarean section along with the percentage of the analytic cohort is shown. More than one indication was present in many cases. The median decision-to-delivery interval and IQR range are shown for each indication. The impact of each indication on decision-to-delivery interval is represented by the p-values from a Cox proportional hazards model conditioned only on the indication of interest. Significance is the p value derived from the same model. *p < 0.05

ISSN: 1471-2393