Improving the management of high-risk pregnancies with the use of the Robson classification

• Autor(a) principal: Mário Dias Corrêa Júnior
• Data de Publicação: 2020
• Outros Autores: Bárbara Moreira Ribeiro Trindade dos Santos, José Reinaldo Corrêa Roveda, Laura Carolina Menezes Vieira Silva, Larissa Silva Guimarães Ferreira, Samuel Cristóvão Lopes Gonçalves
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.1055/s-0040-1713910; http://hdl.handle.net/1843/51842; https://orcid.org/0000-0003-4198-0546; https://orcid.org/0000-0002-9449-7171; https://orcid.org/0000-0002-0158-1586; https://orcid.org/0000-0001-8781-1428; https://orcid.org/0000-0002-5368-5387; https://orcid.org/0000-0002-2359-3422
• topic: Classificação de Robson; Gestão hospitalar; Maternidade; Cesariana; Prática clínica baseada em evidências; Maternidades; Administração hospitalar; Maternidades; Cesárea; Prática clínica baseada em evidências

Objective: To analyze the rates of cesarean delivery longitudinally in a university hospital using the Robson classification. Methods: Data related to births performed between 2014 and 2018 and recorded in the Maternal and Neonatal Health Information System (Sistema de Informações em Saúde Materna e Neonatal, SISMATER, in Portuguese) were analyzed using the Robson classification. As an aid, we used articles published in the last five years that approach the same topic in other Brazilian maternity hospitals; they were retrieved from the LILACS, MEDLINE, CINAHL, Scopus, Web of Science and Cochrane Library databases. Results: There was little variation in the total rate of cesarean sections in the period; however, the profile of each group changed over the years. It was possible to verify a significant reduction in the participation of groups of pregnant women with lower risk and an increase in high-risk pregnancies, attributable to the decrease in beds in the institution, with a greater transfer of patients. In addition, there was a reduction in cesarean sections among the lower-risk groups, while the rate among the higher-risk groups remained stable. Conclusion: The use of the Robson classification to stratify cesarean deliveries contributes to a better analysis of the indications for cesarean delivery, enabling the establishment of strategies to reduce the rates, generating a positive impact on hospital management and quality of care.