Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de ginecologia e obstetrícia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000200084 |
Resumo: | Abstract 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 allowsmonitoring 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. |
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Revista brasileira de ginecologia e obstetrícia (Online) |
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Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groupspregnancyhigh-risk pregnancyparturitioncesarean sectionrobson classificationAbstract 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 allowsmonitoring 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.Federação Brasileira das Sociedades de Ginecologia e Obstetrícia2021-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000200084Revista Brasileira de Ginecologia e Obstetrícia v.43 n.2 2021reponame:Revista brasileira de ginecologia e obstetrícia (Online)instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)instacron:FEBRASGO10.1055/s-0040-1718446info:eu-repo/semantics/openAccessSoares,Karina BiaggioKlein,Vanessa Cristina GrolliLima,José Antônio Reis Ferreira deGadenz,LucasPaulo,Larissa EmileKonopka,Cristine Kollingeng2021-03-26T00:00:00Zoai:scielo:S0100-72032021000200084Revistahttp://www.scielo.br/rbgohttps://old.scielo.br/oai/scielo-oai.phppublicações@febrasgo.org.br||rbgo@fmrp.usp.br1806-93390100-7203opendoar:2021-03-26T00:00Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)false |
dc.title.none.fl_str_mv |
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 |
spellingShingle |
Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups Soares,Karina Biaggio pregnancy high-risk pregnancy parturition cesarean section robson classification |
title_short |
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_sort |
Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups |
author |
Soares,Karina Biaggio |
author_facet |
Soares,Karina Biaggio Klein,Vanessa Cristina Grolli Lima,José Antônio Reis Ferreira de Gadenz,Lucas Paulo,Larissa Emile Konopka,Cristine Kolling |
author_role |
author |
author2 |
Klein,Vanessa Cristina Grolli Lima,José Antônio Reis Ferreira de Gadenz,Lucas Paulo,Larissa Emile Konopka,Cristine Kolling |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Soares,Karina Biaggio Klein,Vanessa Cristina Grolli Lima,José Antônio Reis Ferreira de Gadenz,Lucas Paulo,Larissa Emile Konopka,Cristine Kolling |
dc.subject.por.fl_str_mv |
pregnancy high-risk pregnancy parturition cesarean section robson classification |
topic |
pregnancy high-risk pregnancy parturition cesarean section robson classification |
description |
Abstract 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 allowsmonitoring 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. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000200084 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000200084 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0040-1718446 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ginecologia e Obstetrícia v.43 n.2 2021 reponame:Revista brasileira de ginecologia e obstetrícia (Online) instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) instacron:FEBRASGO |
instname_str |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) |
instacron_str |
FEBRASGO |
institution |
FEBRASGO |
reponame_str |
Revista brasileira de ginecologia e obstetrícia (Online) |
collection |
Revista brasileira de ginecologia e obstetrícia (Online) |
repository.name.fl_str_mv |
Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) |
repository.mail.fl_str_mv |
publicações@febrasgo.org.br||rbgo@fmrp.usp.br |
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1754115945453846528 |