Background/Aim: In Germany, performance of an emergency Cesarean section (ECS) is recommended within an interval of ≤20 min from decision to delivery (DDI). The aim of the study was to assess the duration of DDI in ECS as well as its impact on neonatal outcome. Patients and Methods: Data from 437 patients at a single, tertiary care hospital were retrospectively analysed regarding influence on the duration of DDI. Subsequently the impact of DDI on neonatal outcome and incidence of adverse neonatal outcome was analysed. Results: DDI of ECS performed outside core working hours was significantly prolonged (p<0.001). Shorter DDI showed a statistically worse arterial cord blood pH (p=0.001, r=0.162) and base excess (p=0.05; r=0.094). Duration of DDI had no significant impact on the incidence of adverse neonatal outcome (p=0.123). Conclusion: Awareness of influence on DDI might contribute to expediting DDI, but duration of DDI showed no impact on the incidence of adverse neonatal outcome. Data were not adequate to suggest a recommendation for DDI time standards.Cesarean section is the most commonly performed major surgery in obstetrics. In an emergency its immediate performance seems to be necessary in order to minimize the risk of permanent fetal damages and to prevent fatal complications. Emergency Cesarean section (ECS) is required in approximately 1% of pregnancies (1).In Germany the time interval from indicating an ECS until the actual delivery of the neonate, also known as decision to delivery interval (DDI), is recommended to be ≤20 min (2).
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