The decision-to-delivery interval in emergency Caesarean sections and its correlation with perinatal outcome: evidence from 204 deliveries in a developing country.

Abstract:

:The international standard decision-to-delivery interval (DDI) for emergency Caesarean sections (CSs) is ≤ 30 minutes but there is little evidence to support this recommendation. The aim of this study was to evaluate DDI for emergency CS and its relationship to perinatal outcome. We undertook a prospective observational study of consecutive cases of emergency CS. Perinatal outcomes were recorded as: Apgar score; neonates requiring admission; and perinatal deaths. The relation between DDI and perinatal outcome was analysed using chi-square and one way analysis of variance (ANOVA). Of 204 pregnancies observed, 19% of deliveries were achieved in ≤ 30 minutes. The mean DDI was 42.5 ± 19.4 minutes. There was no difference between the perinatal outcome for babies with DDI of ≤ 30 versus 31-60 minutes. There was a significantly higher risk of poor perinatal outcome for babies with DDI > 60 minutes. The perinatal outcome between DDI of ≤ 30 and 31-60 minutes was statistically not different. However, the ≤ 30 minutes DDI should remain the gold standard.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Singh R,Deo S,Pradeep Y

doi

10.1258/td.2012.110315

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

67-9

issue

2

eissn

0049-4755

issn

1758-1133

pii

42/2/67

journal_volume

42

pub_type

杂志文章
  • The use of misoprostol for mid-trimester therapeutic termination of pregnancy.

    abstract::Extra-amniotic prostaglandin F2alpha (PG F2alpha) is probably the most widely used medical method for mid-trimester termination of pregnancy. The method is highly effective but is financially costly, particularly for poor countries faced with restricted health budgets. The aim of this study was to establish whether mi...

    journal_title:Tropical doctor

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/004947550103100315

    authors: Munthali J,Moodley J

    更新日期:2001-07-01 00:00:00

  • A psychiatric ward in an African district hospital.

    abstract::In most African district hospitals there are no separate facilities for psychiatric patients. Aformer general medical officer describes how a ward for these patients was set up at a rural district hospital in Zimbabwe using the already available resources. The effects on the psychiatric care at the hospital and the di...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550103100305

    authors: van der Heide DH,Gernaat HB

    更新日期:2001-07-01 00:00:00

  • Prevalence of anaemia and iron deficiency in three trimesters in Rural Vellore district, South India.

    abstract::A multistage sampling technique was used to select 845 pregnant women from two blocks in Vellore district. Haematological measurement of haemoglobin (Hb) was done on all women and serum ferritin (SF) on a subsample of 445. The prevalence of anaemia (Hb <11 g/dl) was 56.6%, 70.2% and 69.5%, respectively among the first...

    journal_title:Tropical doctor

    pub_type: 杂志文章,多中心研究

    doi:10.1177/004947550103100210

    authors: Abel R,Rajaratnam J,Gnanasekaran VJ,Jayaraman P

    更新日期:2001-04-01 00:00:00

  • Diabetes self-care and educational needs in Tanzanian and Swedish diabetic patients: a cross-cultural study.

    abstract::The aim was to compare self-care and perceived educational needs in adult Tanzanian and Swedish diabetic patients. One hundred and fifty Tanzanians were matched with Swedes (n=150). All 300 patients filled in questionnaires about their self-care and educational needs. The comparison indicated the Tanzanians were almos...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550203200410

    authors: Smide B,Ekman L,Wikblad K

    更新日期:2002-10-01 00:00:00

  • Prevalence of opportunistic infections in AIDS patients in Mangalore, Karnataka.

    abstract::A study was conducted to determine the prevalence of opportunistic infections in HIV-seropositive patients at Kasturba Medical College Hospital, Mangalore. Three hundred and seven HIV-positive patients were screened for various opportunistic pathogens. Tuberculosis was the most common infection followed by candidiasis...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.070171

    authors: Saldanha D,Gupta N,Shenoy S,Saralaya V

    更新日期:2008-07-01 00:00:00

  • Appendicitis versus genital disease in young women in tropical Africa.

    abstract::The differential diagnosis in women between acute appendicitis and acute gynaecological conditions on clinical examination is often difficult. A plea is made for the more widespread use of ultrasound and laparoscopy in the differential diagnosis of these conditions. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:

    authors: Ameh EA

    更新日期:2000-04-01 00:00:00

  • 2,4-D poisoning: a review with illustration of two cases.

    abstract::2,4-D (2,4-dichlorphenoxyacetic acid) is a chlorphenoxy group pesticide. Its relative safety and broad leaf selectivity makes it a favourite herbicide of many home gardeners and agricultural workers. Severe systemic toxicity requiring hospital admission and intensive care usually occurs following intentional oral inge...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审

    doi:10.1177/0049475518786834

    authors: Pannu AK,Saroch A,Agrawal J,Sharma N

    更新日期:2018-10-01 00:00:00

  • External herniae: ventral herniae and summary.

    abstract::1. In three articles, inguinal, femoral, and ventral herniae have been discussed, one of the aims being to draw the attention of those who are new to surgery in the tropics to some of the things the author thought were peculiar to these herniae. Experiences in the 1,100-bed Korle Bu Hospital, Accra, where a retrospect...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947557500500204

    authors: Wosornu L

    更新日期:1975-04-01 00:00:00

  • Chest ultrasound findings in pulmonary tuberculosis.

    abstract::In resource-limited countries, the diagnosis of pulmonary tuberculosis (TB) is based on clinical findings, chest radiography and the demonstration of acid-fast bacilli in sputum. Few data are available on the use of ultrasound (US) to diagnose pulmonary TB. Chest US was performed in patients with lung TB from a rural ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475517709633

    authors: Agostinis P,Copetti R,Lapini L,Badona Monteiro G,N'Deque A,Baritussio A

    更新日期:2017-10-01 00:00:00

  • Municipal community obstetrics in a developing country.

    abstract::In 1971 the maternity care delivery system in Salisbury, Zimbabwe was reorganized. Prior to that time, all maternity services were provided by the Harare Maternity Hospital but the facility was not able to adequately meet the needs of the community. In 1970 the problem was studied and a design for a new system was a...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947558001000417

    authors: Frost O

    更新日期:1980-10-01 00:00:00

  • Chronic volvulus of the stomach: to operate?

    abstract::Chronic volvulus of the stomach is a relatively rare entity. We present a series of six cases diagnosed over the past 18 months. Three patients underwent surgical treatment by gastropexy alone or with gastrojejunostomy while the other three were managed conservatively. Symptomatic relief was equally good in both group...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559702700115

    authors: Senapati MK,Sivasubramanian S,Tapase VG,Chhatriwalla MF

    更新日期:1997-01-01 00:00:00

  • HIV among the elderly with special reference to mode of presentation at a tertiary care hospital in Kolkata, India.

    abstract::Epidemiological data of HIV affected individuals of aged 50 years and above in India are lacking for various reasons. Diagnosing HIV infection among the elderly is challenging as chronic HIV/AIDS can mimic those typically associated with aging in parallel to the myth that elderly individuals lead asexual lives. In thi...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475513491943

    authors: Talukdar A,Khanra D,Ray S,Talukdar P,Rana S,Banerjee B,Saha B

    更新日期:2013-07-01 00:00:00

  • Drug treatment costs: projected impact of using the integrated management of childhood illnesses.

    abstract::The strategy of integrated management of childhood illness (IMCI) aims at improving the skills of first level health workers and consequently, improving the survival chances of children. The guidelines have been shown to be cost-effective. We aimed to determine the potential impact of using IMCI guidelines on drug tre...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550303300210

    authors: Wammanda RD,Ejembi CL,Iorliam T

    更新日期:2003-04-01 00:00:00

  • Seroepidemiology of human Brucella infection in Yixing, China.

    abstract::Brucellosis is a common zoonotic infection worldwide and a major public health problem in developing countries including China. The aim of our study was to investigate the seroprevalence of Brucella infection in humans in Yixing, located at the centre of the Yangtze River Delta Urban Agglomeration. A total of 895 sera...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475516640191

    authors: Xiao Y,Zou G,Yin J,Tan W,Zhou J,Zhang H

    更新日期:2017-04-01 00:00:00

  • Smoking habits amongst house physicians working at Jinnah Postgraduate Medical Center, Karachi, Pakistan.

    abstract::The objective of this study was to estimate the prevalence of smoking among house physicians working at Jinnah Postgraduate Medical Center, Karachi, Pakistan. Sixty-four (32%) of the 200 house physicians were smokers; 50% (36) had started smoking in their twenties and 44% (28) in their teens. Seventy-five per cent (48...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550403400123

    authors: Piryani RM,Rizvi N

    更新日期:2004-01-01 00:00:00

  • Palatal ulceration as the first sign of pulmonary tuberculosis: a case report.

    abstract::Tuberculosis (TB) is one of the leading casues of morbidity and death in a number of countries worldwide. A healthy 42-year-old patient presented with a chronic palatal ulcer that was not responsive to routine antibiotic treatment. A biopsy and further systemic investigation revealed a diagnosis of TB. An eight-month ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2011.110240

    authors: Peck MT,Stephen LX,Marnewick J,Majeed A

    更新日期:2012-01-01 00:00:00

  • Handling postpartum haemorrhage- obstetrics between tradition and modernity in post-war Sierra Leone.

    abstract:OBJECTIVES:How traditional birth attendants (TBAs) in post-war Sierra Leone explain, handle and prevent postpartum haemorrhage (PPH) and their potential role in a better management of PPH to reduce maternal mortality in this low resource setting. METHODS:Semi-quantitative interviews about knowledge and measures in PPH...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475514557579

    authors: Bräuer MD,Antón J,George PM,Kuntner L,Wacker J

    更新日期:2015-04-01 00:00:00

  • Telemedicine--the way ahead for medicine in the developing world.

    abstract::An e-mail link with the facility to send high-resolution digital images is a cheap and uncomplicated telemedicine method. The Swinfen Charitable Trust helped establish such a link in Patan Hospital Kathmandu, Nepal in March 2000. Over 12 months using this link 42 telemedicine referrals were sent to specialists through...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550303300118

    authors: Graham LE,Zimmerman M,Vassallo DJ,Patterson V,Swinfen P,Swinfen R,Wootton R

    更新日期:2003-01-01 00:00:00

  • HIV and syphilis serostatus of antenatals in traditional Maasai pasturalist communities in Kajiado District, Kenya: 1989-1992.

    abstract::Although much research has been carried out on high risk populations, little is known about HIV prevalence in traditional rural communities who limit contact with other tribes, non-traditional tribesman and Europeans. This study considers traditional Maasai living near a high HIV transmission area. A time series analy...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559902900211

    authors: Valadez JJ,Loolpapit PM,Nyangao A,Dikir F

    更新日期:1999-04-01 00:00:00

  • An unusual presentation of post-kala-azar dermal leishmaniasis.

    abstract::An atypical presentation of post-kala-azar dermal leishmaniasis is reported to highlight the importance of suspecting dermatosis in patients from areas endemic for kala-azar. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947507781524809

    authors: Ramesh V,Kumar J,Salotra P

    更新日期:2007-07-01 00:00:00

  • Transmission of HIV-1 in breast milk.

    abstract::The first recorded case of HIV-1 transmission via breast milk occurred in 1985. 1985 was also the year HIV-1 was first isolated in breast milk. In developed countries, many hospitals' special neonatal units no longer operated breast milk banks. National policies advised HIV-1 infected mothers to feed their babies b...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审

    doi:10.1177/004947559602600303

    authors: Broadhead RL

    更新日期:1996-07-01 00:00:00

  • Drug prescribing pattern in pregnancy in a secondary care hospital in south India: a retrospective study.

    abstract:BACKGROUND:In pregnancy drug treatment presents a special concern due potential teratogenic effects and physiologic alterations in mother. This retrospective study was performed to evaluate the drug prescribing pattern in pregnancy among pregnant women in a secondary care hospital in India. MATERIALS AND METHODS:This ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475515609841

    authors: Das S,Winston A B,Sukumaran D,Kumar A,Fx MS,Prasad J

    更新日期:2016-04-01 00:00:00

  • Malnutrition in children and its determinants: a study from east India.

    abstract::Malnutrition continues to be a major killer of children, predominantly in low- and middle-income countries such as India. An ecological study was undertaken to correlate different demographic factors with the prevalence of underweight children. Based on findings from the National Family Health Survey 4 (2015-2016), 81...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518824825

    authors: Pratim Roy M

    更新日期:2019-04-01 00:00:00

  • Melioidosis in Gujarat: a neglected tropical disease.

    abstract::We report what we believe is the first case in Gujarat of melioidosis in a 67-year-old man. Awareness of this disease is limited, especially in areas supposed not to be endemic. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520928219

    authors: Savaj P,Shaw T,Munim FC,Mukhopadhyay C

    更新日期:2020-10-01 00:00:00

  • Paediatric surgery outreach: analysis of referrals to a tertiary paediatric surgery service to plan an outreach programme Kwa-Zulu Natal, South Africa.

    abstract::Paediatric surgical disease is a neglected health problem. Patients travel great distances to tertiary level care for management. This study aimed at analysing referral patterns to design an outreach programme for paediatric surgery in KwaZulu Natal. Data forms of patients referred to the service between January and J...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475517718103

    authors: Manickchund Y,Hadley GP

    更新日期:2017-10-01 00:00:00

  • Thyrotoxic hypokalemic periodic paralysis: a life-threatening disorder in Asian men.

    abstract::Thyrotoxicosis can present as a sporadic form of hypokalaemic periodic paralysis. The condition is associated with massive intracellular shift of potassium, mainly in skeletal muscles. As the total body stores of potassium remain normal, overzealous potassium supplementation targeting serum potassium level results in ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518803251

    authors: Pannu AK,Sharma N

    更新日期:2019-01-01 00:00:00

  • Comparison of albendazole regimen for prophylaxis of strongyloides hyperinfection in nephrotic syndrome patients on long-term steroids in Cambodia.

    abstract::Nephrotic syndrome patients on long-term steroids face the risk of having heavy uncomplicated strongyloidiasis or death from its extreme form, the strongyloides hyperinfection. The risk can be minimized if we eradicate the parasite first. We compare a once daily and twice daily albendazole regimen in preventing this p...

    journal_title:Tropical doctor

    pub_type: 临床试验,杂志文章

    doi:10.1258/004947505774938558

    authors: Leang B,Lynen L,Schrooten W,Hines J

    更新日期:2005-10-01 00:00:00

  • Epilepsy in practice.

    abstract::Epilepsy is a common and often neglected illness in developing countries requiring a conscious effort by health workers, especially at community level, to enhance access to regular treatment and to motivate patients to continue treatment. Effective new drugs have recently come on to the market. However, their high cos...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审

    doi:10.1177/004947559802800204

    authors: Kok P

    更新日期:1998-04-01 00:00:00

  • On a national drug policy for Bangladesh.

    abstract::On April 27, 1982 the Ministry of Health of the government of Bangladesh, set up an 8-man expert committee to evaluate all the registered pharmaceutical products presently available, and to formulate a draft National Drug Policy. Objectives are: 1) to provide support for ensuring quality and availability of drugs; 2...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947558401400103

    authors: Islam N

    更新日期:1984-01-01 00:00:00

  • Clinical and therapeutic aspects of childhood kerosene poisoning in Djibouti.

    abstract::We report a prospective and descriptive study about childhood acute poisoning with kerosene in Djibouti. Acute poisoning is a common and stable occurrence in low socioeconomic groups in Africa, where negligence is the main cause of poisoning. The respiratory system was the main target, with 41% of patients having pneu...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2009.080444

    authors: Benois A,Petitjeans F,Raynaud L,Dardare E,Sergent H

    更新日期:2009-10-01 00:00:00