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The impact of maternal morbidity on cesarean section rates: exploring a Latin American network of sentinel facilities using the Robson’s Ten Group Classification System

BACKGROUND: Latin America has the highest Cesarean Section Rates (CSR) in the world. Robson’s Ten Group Classification System (RTGCS) was developed to enable understanding the CSR in different groups of women, classified according to obstetric characteristics into one of ten groups. The size of each...

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Autores principales: Sosa, Claudio, de Mucio, Bremen, Colomar, Mercedes, Mainero, Luis, Costa, Maria L., Guida, Jose P., Souza, Renato T., Luz, Adriana G., Cecatti, José G., Sousa, Maria H., Cruz, Carmen M., Chevez, Luz M., Lopez, Rita, Carrillo, Gema, Rizo, Ulises, Saint Hillaire, Erika E., Arriaga, William E., Guadalupe, Rosa M., Ochoa, Carlos, Gonzalez, Freddy, Castro, Rigoberto, Stefan, Allan, Moreno, Amanda, Serruya, Suzanne J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464484/
https://www.ncbi.nlm.nih.gov/pubmed/37620835
http://dx.doi.org/10.1186/s12884-023-05937-3
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author Sosa, Claudio
de Mucio, Bremen
Colomar, Mercedes
Mainero, Luis
Costa, Maria L.
Guida, Jose P.
Souza, Renato T.
Luz, Adriana G.
Cecatti, José G.
Sousa, Maria H.
Cruz, Carmen M.
Chevez, Luz M.
Lopez, Rita
Carrillo, Gema
Rizo, Ulises
Saint Hillaire, Erika E.
Arriaga, William E.
Guadalupe, Rosa M.
Ochoa, Carlos
Gonzalez, Freddy
Castro, Rigoberto
Stefan, Allan
Moreno, Amanda
Serruya, Suzanne J.
author_facet Sosa, Claudio
de Mucio, Bremen
Colomar, Mercedes
Mainero, Luis
Costa, Maria L.
Guida, Jose P.
Souza, Renato T.
Luz, Adriana G.
Cecatti, José G.
Sousa, Maria H.
Cruz, Carmen M.
Chevez, Luz M.
Lopez, Rita
Carrillo, Gema
Rizo, Ulises
Saint Hillaire, Erika E.
Arriaga, William E.
Guadalupe, Rosa M.
Ochoa, Carlos
Gonzalez, Freddy
Castro, Rigoberto
Stefan, Allan
Moreno, Amanda
Serruya, Suzanne J.
author_sort Sosa, Claudio
collection PubMed
description BACKGROUND: Latin America has the highest Cesarean Section Rates (CSR) in the world. Robson’s Ten Group Classification System (RTGCS) was developed to enable understanding the CSR in different groups of women, classified according to obstetric characteristics into one of ten groups. The size of each CS group may provide helpful data on quality of care in a determined region or setting. Data can potentially be used to compare the impact of conditions such as maternal morbidity on CSR. The objective of this study is to understand the impact of Severe Maternal Morbidity (SMM) on CSR in ten different groups of RTGCS. METHODS: Secondary analysis of childbirth information from 2018 to 2021, including 8 health facilities from 5 Latin American and Caribbean countries (Bolivia, Guatemala, Honduras, Nicaragua, and the Dominican Republic), using a surveillance database (SIP-Perinatal Information System, in Spanish) implemented in different settings across Latin America. Women were classified into one of RTGCS. The frequency of each group and its respective CSR were described. Furthermore, the sample was divided into two groups, according to maternal outcomes: women without SMM and those who experienced SMM, considering Potentially Life-threatening Conditions, Maternal Near Miss and Maternal Death as the continuum of morbidity. RESULTS: Available data were obtained from 92,688 deliveries using the Robson Classification. Overall CSR was around 38%. Group 5 was responsible for almost one-third of cesarean sections. SMM occurred in 6.7% of cases. Among these cases, the overall CSR was almost 70% in this group. Group 10 had a major role (preterm deliveries). Group 5 (previous Cesarean section) had a very high CSR within the group, regardless of the occurrence of maternal morbidity (over 80%). CONCLUSION: Cesarean section rate was higher in women experiencing SMM than in those without SMM in Latin America. SMM was associated with higher Cesarean section rates, especially in groups 1 and 3. Nevertheless, group 5 was the major contributor to the overall CSR.
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spelling pubmed-104644842023-08-30 The impact of maternal morbidity on cesarean section rates: exploring a Latin American network of sentinel facilities using the Robson’s Ten Group Classification System Sosa, Claudio de Mucio, Bremen Colomar, Mercedes Mainero, Luis Costa, Maria L. Guida, Jose P. Souza, Renato T. Luz, Adriana G. Cecatti, José G. Sousa, Maria H. Cruz, Carmen M. Chevez, Luz M. Lopez, Rita Carrillo, Gema Rizo, Ulises Saint Hillaire, Erika E. Arriaga, William E. Guadalupe, Rosa M. Ochoa, Carlos Gonzalez, Freddy Castro, Rigoberto Stefan, Allan Moreno, Amanda Serruya, Suzanne J. BMC Pregnancy Childbirth Research BACKGROUND: Latin America has the highest Cesarean Section Rates (CSR) in the world. Robson’s Ten Group Classification System (RTGCS) was developed to enable understanding the CSR in different groups of women, classified according to obstetric characteristics into one of ten groups. The size of each CS group may provide helpful data on quality of care in a determined region or setting. Data can potentially be used to compare the impact of conditions such as maternal morbidity on CSR. The objective of this study is to understand the impact of Severe Maternal Morbidity (SMM) on CSR in ten different groups of RTGCS. METHODS: Secondary analysis of childbirth information from 2018 to 2021, including 8 health facilities from 5 Latin American and Caribbean countries (Bolivia, Guatemala, Honduras, Nicaragua, and the Dominican Republic), using a surveillance database (SIP-Perinatal Information System, in Spanish) implemented in different settings across Latin America. Women were classified into one of RTGCS. The frequency of each group and its respective CSR were described. Furthermore, the sample was divided into two groups, according to maternal outcomes: women without SMM and those who experienced SMM, considering Potentially Life-threatening Conditions, Maternal Near Miss and Maternal Death as the continuum of morbidity. RESULTS: Available data were obtained from 92,688 deliveries using the Robson Classification. Overall CSR was around 38%. Group 5 was responsible for almost one-third of cesarean sections. SMM occurred in 6.7% of cases. Among these cases, the overall CSR was almost 70% in this group. Group 10 had a major role (preterm deliveries). Group 5 (previous Cesarean section) had a very high CSR within the group, regardless of the occurrence of maternal morbidity (over 80%). CONCLUSION: Cesarean section rate was higher in women experiencing SMM than in those without SMM in Latin America. SMM was associated with higher Cesarean section rates, especially in groups 1 and 3. Nevertheless, group 5 was the major contributor to the overall CSR. BioMed Central 2023-08-24 /pmc/articles/PMC10464484/ /pubmed/37620835 http://dx.doi.org/10.1186/s12884-023-05937-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Sosa, Claudio
de Mucio, Bremen
Colomar, Mercedes
Mainero, Luis
Costa, Maria L.
Guida, Jose P.
Souza, Renato T.
Luz, Adriana G.
Cecatti, José G.
Sousa, Maria H.
Cruz, Carmen M.
Chevez, Luz M.
Lopez, Rita
Carrillo, Gema
Rizo, Ulises
Saint Hillaire, Erika E.
Arriaga, William E.
Guadalupe, Rosa M.
Ochoa, Carlos
Gonzalez, Freddy
Castro, Rigoberto
Stefan, Allan
Moreno, Amanda
Serruya, Suzanne J.
The impact of maternal morbidity on cesarean section rates: exploring a Latin American network of sentinel facilities using the Robson’s Ten Group Classification System
title The impact of maternal morbidity on cesarean section rates: exploring a Latin American network of sentinel facilities using the Robson’s Ten Group Classification System
title_full The impact of maternal morbidity on cesarean section rates: exploring a Latin American network of sentinel facilities using the Robson’s Ten Group Classification System
title_fullStr The impact of maternal morbidity on cesarean section rates: exploring a Latin American network of sentinel facilities using the Robson’s Ten Group Classification System
title_full_unstemmed The impact of maternal morbidity on cesarean section rates: exploring a Latin American network of sentinel facilities using the Robson’s Ten Group Classification System
title_short The impact of maternal morbidity on cesarean section rates: exploring a Latin American network of sentinel facilities using the Robson’s Ten Group Classification System
title_sort impact of maternal morbidity on cesarean section rates: exploring a latin american network of sentinel facilities using the robson’s ten group classification system
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464484/
https://www.ncbi.nlm.nih.gov/pubmed/37620835
http://dx.doi.org/10.1186/s12884-023-05937-3
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