Table 3.
The effect of time delays for emergency cesarean section on neonatal outcomes 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] |
Ref Reference value
HC Health Center
DH District Hospital
OR Odds Ratio
aOR adjusted Odds Ratio
aAdjusted for district hospital, gestational age, number of fetuses, and woman’s age
bAdjusted for district hospital
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