Key result
A decision to delivery interval of 20 minutes compared with 30 minutes was associated with a reduced risk of perinatal death or cerebral palsy (OR 0.44; 95% CI 0.22-0.86; P=0.02).
Why the study?
Does a shorter decision to delivery interval improve perinatal outcomes in women with severe placental abruption complicated by fetal bradycardia?
Population
33 women with singleton pregnancies over 28 weeks of gestation, admitted with clinically overt placental…
Comparison
Decision to delivery interval of 20 minutes or… vs Decision to delivery interval of 30 minutes
Design
Case-control
Follow-up
One year
Authors
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May support targeting <20-minute delivery in severe abruption with bradycardia; hypothesis-generating and requires prospective validation before practice change.
Case-Control (n=33)
No
Does a shorter decision to delivery interval improve perinatal outcomes in women with severe placental abruption complicated by fetal bradycardia?
Odds Ratio: 0.44 (95% CI 0.22–0.86)
p-value: p=0.02
In severe placental abruption complicated by fetal bradycardia, a decision-to-delivery interval of 20 minutes or less is associated with substantially reduced neonatal morbidity and mortality.
Kayani et al. (2003) conducted a case-control in Severe placental abruption (n=33). Decision to delivery interval of 20 minutes vs. Decision to delivery interval of 30 minutes was evaluated on Prenatal death or survival with cerebral palsy (OR 0.44, 95% CI 0.22-0.86, p=0.02). A decision to delivery interval of 20 minutes compared with 30 minutes was associated with a reduced risk of perinatal death or cerebral palsy (OR 0.44; 95% CI 0.22-0.86; P=0.02).
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