What is the recommended decision to delivery interval for managing a severe abruption?

In cases of severe placental abruption, prompt delivery of the fetus is crucial due to the risk of significant maternal and fetal morbidity and mortality. The recommended decision to delivery interval for managing a severe abruption is less than 20 minutes. This timeframe is important because severe abruption can lead to rapid deterioration of both the mother and fetus, including risks such as fetal distress, significant maternal hemorrhage, and even maternal shock.

By adhering to a decision to delivery interval of less than 20 minutes, healthcare providers can quickly initiate delivery, either by vaginal birth or emergency cesarean section, depending on the specific circumstances and clinical judgment. The emphasis on this timeframe highlights the urgency of the situation, emphasizing the need for immediate action when dealing with severe abruption to ensure the best possible outcomes for both the mother and fetus.