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Table 3 The effect of time delays for emergency cesarean section on neonatal outcomes in Rwanda

From: Longer travel time to district hospital worsens neonatal outcomes: a retrospective cross-sectional study of the effect of delays in receiving emergency cesarean section in Rwanda

 

Unadjusted

Adjusted

 

OR

p-value

95% CI

aOR

p-value

95% CI

Duration of labor before hospital admission (hours)a

  < 12

ref

-

-

ref

-

-

 12 to <24

0.65

0.42

[0.23, 1.87]

0.81

0.71

[0.26, 2.50]

 24 to <36

0.43

0.29

[0.09, 2.10]

0.54

0.38

[0.10, 2.92]

  ≥ 36

0.99

0.98

[0.27, 3.49]

1.20

0.80

[0.31, 4.65]

Travel time from HC to DH (minutes)b

 HC located on the same compound as the DH (<30)

ref

-

-

ref

-

-

 30 to <60

3.28

0.07

[0.93, 11.59]

3.02

0.09

[0.84, 10.84]

 60 to <90

4.51

0.04

[1.07, 18.98]

4.31

0.05

[1.02, 18.29]

  ≥ 90

5.75

0.01

[1.51, 21.87]

5.12

0.02

[1.30, 20.21]

Time from admission to surgery (hours)c

  ≤ 5

ref

-

-

ref

-

-

  > 5 to ≤10

1.85

0.22

[0.70, 4.90]

3.00

0.08

[0.89, 10.08]

  > 10 to ≤15

0.73

0.68

[0.16, 3.36]

1.12

0.89

[0.20, 6.15]

  > 15

0.81

0.68

[0.30, 2.20]

0.50

0.35

[0.12, 2.10]

Decision to incision interval (minutes)c

  < 30

ref

-

-

ref

-

-

  ≥ 30

0.48

0.09

[0.20, 1.13]

0.32

0.04

[0.11, 0.96]

  1. Ref Reference value
  2. HC Health Center
  3. DH District Hospital
  4. OR Odds Ratio
  5. aOR adjusted Odds Ratio
  6. aAdjusted for district hospital, gestational age, number of fetuses, and woman’s age
  7. bAdjusted for district hospital
  8. cAdjusted for district hospital, gestational age, number of fetuses, woman’s age, woman’s heart rate, severity of cesarean section indication, and fetal heart rate