Analysis of the application effect of a rapid response team in emergency cesarean section.

INTRODUCTION: Emergency cesarean section is one of the most critical methods in the treatment of high-risk emergency obstetric cases. The aim of this study was to explore the clinical effect of constructing a Rapid Response Team (RRT) in emergency cesarean section.

METHODS: This is a pre- and post-implementation study. The patients who underwent emergency cesarean section were retrospectively analyzed and divided into an experimental group and a control group. There were 52 patients (June-December 2020) in the control group who underwent routine emergency cesarean section without an RRT, and 51 patients (January-June 2021) in the experimental group who underwent emergency cesarean section with an RRT. The operation time indexes (DOI, decision-to-operating room interval; O-I, operating room-to-incision interval; DII, decision-to-incision interval; I-D, incision-to-delivery interval; DDI, decision-to-delivery interval), DDI pass rate, neonatal Apgar score and maternal complications in the two groups were compared. Moreover, the management time trends (DOI, DII, and DDI) in the experimental group were analyzed.

RESULTS: The DDI, DII, DOI, and O-I of the experimental group were shorter than those of the control group, and the differences were significant ( p  < 0.05). The DDI pass rate in the experimental group was higher than that in the control group, and the difference was significant ( p  < 0.01). The 1-min Apgar score of the experimental group was higher than that of the control group ( p  < 0.05). The key intervals of emergency cesarean section in the experimental group leveled off after approximately 3 to 4 months.

CONCLUSION: In the face of emergency situations, the implementation of an emergency cesarean section RRT can improve delivery intervals for emergency cesarean and would be conducive to maternal and infant safety.