Background: In preparation for emergency cesarean section will involve many decisions and move the various personnel from various disciplines with specific time limits in order to save mothers and neonate. Lack of harmony among team members will result in the need for longer time intervals, so that morbidity and increased maternal and neonate mortality.
Objective: Todetermine the effect of “responsetime” of emergency cesarean section to the out come of pregnancy in the Sarjito hospital.
Methods: The study designis aretrospective cohort.
Results: There were 150 cases of emergency Caesarean sectionin dr. Sardjito hospital during January 1, 2011 through December 31, 2011. The data retrievalis doneby taking aretrospectivecohortdata frommedical records of patients who entere dthestudy subjects. There were 150 cases of emergency Caesarean sectionin 681 cases of Caesarean section during 2011. Fromtable 4it can be seenthat the distribution of execution Caesarean section based on worked hours, 64 cases(42.7%) founded at work and 86 cases(57.3%) in the off hours. Basedon gestational age≥37 weeks there were 116 cases (77.3%) and<37 weeks there were 34 cases(22.7%). As for the difference intime <60 minutes there were 22 cases (14.7%) andat ≥ 60 minutes the re were 128 cases(85.3%). Type ofanesthesiaused was 123 cases(82.6%) regional anesthesia (spinal/ epidural) and 27 cases (17.4%) GA. From all cases of emergency Caesarean section,90.5% operator is are sidentand the restby a specialist. There were nosignificant differences in bivariate and multivariate analyzesto morbidity and mortality to maternal and neonatal.
Conclusion: No significant difference was found morbidity and mortality out comes for maternal and neonatal carein the “responsetime” <60 minutes and≥60 minutes at SarjitoHospital.
Key words: emergency cesarean section, decision – delivery time interval, response time, delivery time