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Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups
Objective To analyze and compare the frequency of cesarean sections and vaginal deliveries through the Robson Classification in pregnant women attended at a tertiary hospital in two different periods. Methods Cross-sectional, retrospective study of birth records, comprising 4,010 women, conducted...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183909/ https://www.ncbi.nlm.nih.gov/pubmed/33465796 http://dx.doi.org/10.1055/s-0040-1718446 |
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author | Soares, Karina Biaggio Klein, Vanessa Cristina Grolli Lima, José Antônio Reis Ferreira de Gadenz, Lucas Paulo, Larissa Emile Konopka, Cristine Kolling |
author_facet | Soares, Karina Biaggio Klein, Vanessa Cristina Grolli Lima, José Antônio Reis Ferreira de Gadenz, Lucas Paulo, Larissa Emile Konopka, Cristine Kolling |
author_sort | Soares, Karina Biaggio |
collection | PubMed |
description | Objective To analyze and compare the frequency of cesarean sections and vaginal deliveries through the Robson Classification in pregnant women attended at a tertiary hospital in two different periods. Methods Cross-sectional, retrospective study of birth records, comprising 4,010 women, conducted from January 2014 to December 2015 in the only public regional referral hospital for the care of high- risk pregnancies, located in Southern Brazil. Results The overall cesarean section rate reached 57.5% and the main indication was the existence of a previous uterine cesarean scar. Based on the Robson Classification, groups 5 (26.3%) and 10 (17.4%) were the most frequent ones. In 2015, there was a significant increase in the frequency of groups 1 and 3 ( p < 0.001), when compared with the previous year, resulting in an increase in the number of vaginal deliveries ( p < 0.0001) and a reduction in cesarean section rates. Conclusion The Robson Classification proved to be a useful tool to identify the profile of parturients and the groups with the highest risk of cesarean sections in different periods in the same service. Thus, it allows monitoring in a dynamic way the indications and delivery routes and developing actions to reduce cesarean rates according to the characteristics of the pregnant women attended. |
format | Online Article Text |
id | pubmed-10183909 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101839092023-07-27 Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups Soares, Karina Biaggio Klein, Vanessa Cristina Grolli Lima, José Antônio Reis Ferreira de Gadenz, Lucas Paulo, Larissa Emile Konopka, Cristine Kolling Rev Bras Ginecol Obstet Objective To analyze and compare the frequency of cesarean sections and vaginal deliveries through the Robson Classification in pregnant women attended at a tertiary hospital in two different periods. Methods Cross-sectional, retrospective study of birth records, comprising 4,010 women, conducted from January 2014 to December 2015 in the only public regional referral hospital for the care of high- risk pregnancies, located in Southern Brazil. Results The overall cesarean section rate reached 57.5% and the main indication was the existence of a previous uterine cesarean scar. Based on the Robson Classification, groups 5 (26.3%) and 10 (17.4%) were the most frequent ones. In 2015, there was a significant increase in the frequency of groups 1 and 3 ( p < 0.001), when compared with the previous year, resulting in an increase in the number of vaginal deliveries ( p < 0.0001) and a reduction in cesarean section rates. Conclusion The Robson Classification proved to be a useful tool to identify the profile of parturients and the groups with the highest risk of cesarean sections in different periods in the same service. Thus, it allows monitoring in a dynamic way the indications and delivery routes and developing actions to reduce cesarean rates according to the characteristics of the pregnant women attended. Thieme Revinter Publicações Ltda. 2021-01-19 /pmc/articles/PMC10183909/ /pubmed/33465796 http://dx.doi.org/10.1055/s-0040-1718446 Text en Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Soares, Karina Biaggio Klein, Vanessa Cristina Grolli Lima, José Antônio Reis Ferreira de Gadenz, Lucas Paulo, Larissa Emile Konopka, Cristine Kolling Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups |
title | Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups |
title_full | Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups |
title_fullStr | Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups |
title_full_unstemmed | Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups |
title_short | Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups |
title_sort | gestational risk as a determining factor for cesarean section according to the robson classification groups |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183909/ https://www.ncbi.nlm.nih.gov/pubmed/33465796 http://dx.doi.org/10.1055/s-0040-1718446 |
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