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Vetier O, Yanni MA, Lassel L, Isly H, Beuchee A, Nyangoh-Timoh K, Lavoue V, Beranger R, Le Lous M. Assessment of compliance with a color code protocol for non-elective cesarean section and its impact on time to delivery interval and neonatal outcomes. J Gynecol Obstet Hum Reprod 2023; 52:102520. [PMID: 36543301 DOI: 10.1016/j.jogoh.2022.102520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 12/15/2022] [Accepted: 12/16/2022] [Indexed: 12/23/2022]
Abstract
INTRODUCTION We set out to assess the compliance with a cesarean section color code protocol and its impact on maternal and neonatal outcomes since its implementation in our maternity ward. METHODS This was a retrospective study including a sample of 200 patients per year who underwent a non-elective cesarean section delivery in Rennes University Hospital from January 1, 2015 to December 31, 2018. Patients were grouped by year and by color code (red, orange or green). The main outcome was compliance with the protocol (color code in accordance with indication for cesarean section) and compliance with the corresponding decision-delivery interval. Secondary outcomes were maternal and neonatal outcomes. RESULTS Eight hundred patients were included during the study period. There was no significant difference in patient characteristics over the years. There was a significant improvement in protocol compliance: full compliance increased from 22.4% in 2015 to 76.5% in 2018 (p < 0.0001). The respect of the 15 min decision-delivery interval in red code protocol increased between 2015 and 2018 (p = 0.0020). CONCLUSION We observed a significant improvement in compliance with the color code protocol between 2015 and 2018 and in the 15 min decision-delivery deadline for the red code.
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Affiliation(s)
- Oriane Vetier
- Department of Obstetrics, Gynecology, and Human reproduction, University Hospital of Rennes, France
| | - Marie-Alice Yanni
- Department of Obstetrics, Gynecology, and Human reproduction, University Hospital of Rennes, France
| | - Linda Lassel
- Department of Obstetrics, Gynecology, and Human reproduction, University Hospital of Rennes, France
| | - Hélène Isly
- Department of Obstetrics, Gynecology, and Human reproduction, University Hospital of Rennes, France
| | - Alain Beuchee
- Department of Pediatry, University Hospital of Rennes, France; University of Rennes, INSERM, LTSI - UMR 1099, Rennes F-35000, France
| | - Krystel Nyangoh-Timoh
- Department of Obstetrics, Gynecology, and Human reproduction, University Hospital of Rennes, France; University of Rennes, INSERM, LTSI - UMR 1099, Rennes F-35000, France
| | - Vincent Lavoue
- Department of Obstetrics, Gynecology, and Human reproduction, University Hospital of Rennes, France; University of Rennes, INSERM, LTSI - UMR 1099, Rennes F-35000, France
| | - Rémi Beranger
- Department of Obstetrics, Gynecology, and Human reproduction, University Hospital of Rennes, France; University of Rennes, INSERM, EHESP, Irset-UMR_S, Rennes 1085, France
| | - Maela Le Lous
- Department of Obstetrics, Gynecology, and Human reproduction, University Hospital of Rennes, France; University of Rennes, INSERM, LTSI - UMR 1099, Rennes F-35000, France.
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