Optimizing Emergency Cesarean Section Response Times in Category I Fetal Distress: A Pharmacological Perspective

Abstract

Backgrounds: Cesarean section (CS) is a common procedure globally, often performed due to fetal distress, which requires delivery within 30 minutes According to data from Airlangga University Hospital, the achievement rate of emergency CS is only 80-82%, this causes the activation of the obstetric operating room to increase the achievement of emergency CS <30 minutes. Objective: To improve the quality of service regarding response time emergency CS for fetal distress at Airlangga University Hospital. Methods: This retrospective descriptive study analyzed medical records of emergency CS cases due to fetal distress in the central surgical operating room in 2022 and the obstetric operating room in 2023. Total sampling was used, and data were tabulated using Microsoft Excel. Results: From the results of the study, in 2022, the number of cesarean deliveries was 699 patients, of which 22 patients of fetal distress (3.1%) underwent emergency CS in the operating room of the central surgical building from a total of 47 emergency CS (7.6%). In 2023, the number of CS was 631 patients, of which 23 patients with fetal distress (3.6%) underwent emergency CS in the obstetric operating room from a total of 58 emergency CS operations (9.1%). Conclusion: Data from 2023 indicate improved response times for emergency CS, with the dedicated obstetric operating room significantly enhancing service quality.