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Multidisciplinary Team Training Reduces the Decisions-to-delivery Interval for Emergency Cesarean Section

Fuhrmann, L.; Pedersen, T.H.; Atke, A.; Møller, A.M.; Østergaard, D.

Obstetric Anesthesia Digest: June 2016 - Volume 36 - Issue 2 - p 86–88
doi: 10.1097/01.aoa.0000482621.63656.ec
Mechanisms, Equipment, Hazards
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Commentary

(Acta Anaesthesiol Scand. 2015;59(10):1287–1295)

A 30-minute period is a common practice benchmark for the decision-to-delivery interval (DDI) for emergency cesarean section (ECS) when the life of the mother or fetus is at risk. In Denmark, there is a national standard recommending that 95% of ECSs be performed within this 30-minute interval. A shorter, 15-minute goal is used when there is an immediate maternal or fetal threat, and a 60-minute goal for cases in which there is a need for an earlier-than-planned delivery, but no maternal or fetal compromise. Danish obstetrical results reported to a national database showed that only 34.4% of the ECSs performed at the study hospital in 2011 achieved the desired goal, indicating the need for improvement. This study implemented a simulation-based multidisciplinary team-training program and examined its effect on the DDI in a before-after study.

Departments of Anaesthesiology and Intensive Care, Gynaecology and Obstetrics, Herlev Hospital, Copenhagen, Denmark

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