Indication of cesarean section on pregnant women classified as Robson 1

• Autor(a) principal: Melo, João Pedro de
• Data de Publicação: 2021
• Outros Autores: Garcia, Fernanda Stelluti, Salazar, Amanda Penteado, Kosorus, Kátia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Scientia Medica (Porto Alegre. Online)
• Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/40497
• topic: cesarean section; labor obstetric; parturition delivery; obstetric natural childbirth; cesárea; trabalho de parto; parto; parto obstétrico; parto normal

Aims: the goal was to identify the most prevalent indications of cesarean section in pregnant women classified as Robson 1, comparing motherly variables, obstetric background and perinatal outcomes.Methods: cross-sectional analytical study, evaluating the electronic medical records of birthing women classified as Robson 1. The quantitative variables were compared using Student’s T Test or Mann Whitney, the qualitative ones were applied to the Chi-square Test or Fisher’s Exact.Results: of the 2267 eligible women in the study 570 (25,1%) had C-section. The most prevalent indications of C-section were fetal distress numbering 213 (37,4%) of the reports and cephalopelvic disproportion reaching as high as 212 (37,2%) cases. The relevant variables to the outcome were: age (odds ratio 1,0), gestational age (1,4), Pregestational Body Mass Index (1,6 in overweight and 1,8 seen in obesity) and hypertensive syndrome (3,6).Conclusion: some pregnant and obstetric characteristics directly affect the indication of C-sections.