Background. Caesarean sections (CS) in low-and middle-income countries are still afflicted with high complication rates for both mothers and neonates. A target decision-to-delivery (DDI) interval ≤30 minutes in category 1 emergency CS is the recommended standard of care, although the impact of this target on perinatal outcomes and its practicality is unclear.Objectives. The purpose of this retrospective study was to evaluate whether a DDI ≤30 minutes was achieved in daily practice and to describe the indications for category 1 emergency CS. Methods. We conducted a retrospective descriptive study at