Value of rapid response team 5 min emergency cesarean section in reducing decision-to-delivery interval

  Objective  To study the value of rapid response team 5 min emergency cesarean section in reducing decision-to-delivery interval(DDI).

  Methods  The clinical data of 90 pregnant women undergoing termination of pregnancy by cesarean section in the emergency department of our hospital from January 2012 to February 2019 were retrospectively analyzed. The patients with routine emergency cesarean section from January 2012 to December 2013 were selected as control group (n=50), and those undergoing 5 min emergency cesarean section from January 2014 to February 2019 were as study group (n=40). The DDI, neonatal and maternal related outcomes were assessed.

  Results  There was significant difference in DDI in two groups(P < 0.05). There was no significant difference in intraoperative, postoperative blood transfusion and postoperative wound infection in two groups(P > 0.05). There was significant difference in the pH value of umbilical blood between the two groups (P < 0.05), but no significant differences in Apgar score, incidence of acute respiratory distress syndrome(ARDS) and neonatal mortality between the two groups were observed(P > 0.05).

  Conclusion  DDI can be effectively reduced by strengthening the 5 min emergency cesarean section training. Therefore, regular simulation training is an important management model for obstetrics department, which can improve maternal and infants′outcomes.