Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1371/journal.pone.0192997 http://hdl.handle.net/11449/175928 |
Resumo: | Background The global increase in C-section rates is real. In Brazil, these indices correspond to 58.94% in the Midwest region and 52.77% in the Federal District. Objective To evaluate the C-section rates and identify the groups with the greatest risk at two reference hospitals in the public network of Federal District/Brazil, using 10-Group Robson System. Method A cross-sectional study of 6579 births assisted at the Hospital A (HA) and the Hospital B (HB) during 2013. The C-section rates in each group and its respective contribution to the total hospital C-sections was compared between HA and HB. To this, was used the proportion difference test (similar to chi-square test), with RR and 95% CI, and the logistic regression analysis (OR; 95% CI) among the groups with higher C-section/total C-section. The significance limit of p < 0.05 was defined for all tests. Results The C-section rates were 50.8% at the HA and 42.3% at the HB, with 1.20 RR (95%CI = 1.13–1.28) at the HA. The highest rates were observed in Robson groups G5, G1, and G2. At the HA, G1 had a 21.5% C-section rate, which was greater than at the HB (13.8%; p < 0.05); the cesarean rates for groups G2 and G5 were higher at the HB (respectively, 18.6 and 38.1%) than at the HA (14.8 and 32.5%, respectively; p < 0.05). Conclusion These results point out specific goals to be achieved in order to reduce abusive cesarean rates in both A and B hospitals, especially in the primigravida and in those with previous C-section. |
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Repositório Institucional da UNESP |
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spelling |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/BrazilBackground The global increase in C-section rates is real. In Brazil, these indices correspond to 58.94% in the Midwest region and 52.77% in the Federal District. Objective To evaluate the C-section rates and identify the groups with the greatest risk at two reference hospitals in the public network of Federal District/Brazil, using 10-Group Robson System. Method A cross-sectional study of 6579 births assisted at the Hospital A (HA) and the Hospital B (HB) during 2013. The C-section rates in each group and its respective contribution to the total hospital C-sections was compared between HA and HB. To this, was used the proportion difference test (similar to chi-square test), with RR and 95% CI, and the logistic regression analysis (OR; 95% CI) among the groups with higher C-section/total C-section. The significance limit of p < 0.05 was defined for all tests. Results The C-section rates were 50.8% at the HA and 42.3% at the HB, with 1.20 RR (95%CI = 1.13–1.28) at the HA. The highest rates were observed in Robson groups G5, G1, and G2. At the HA, G1 had a 21.5% C-section rate, which was greater than at the HB (13.8%; p < 0.05); the cesarean rates for groups G2 and G5 were higher at the HB (respectively, 18.6 and 38.1%) than at the HA (14.8 and 32.5%, respectively; p < 0.05). Conclusion These results point out specific goals to be achieved in order to reduce abusive cesarean rates in both A and B hospitals, especially in the primigravida and in those with previous C-section.Electrochemical SocietyMinistério da SaúdeSecretaria de Estado de Saúde de Minas GeraisMedical School Coordination Graduate School of Health Sciences/FEPECS/SESGraduate Program in Gynecology Obstetrics and Mastology Botucatu Medical School UNESPCoordenação do Curso de Medicina Escola Superior de Ciências da Saúde/FEPECS/ SESGraduate Program in Gynecology Obstetrics and Mastology Botucatu Medical School UNESPGraduate School of Health Sciences/FEPECS/SESUniversidade Estadual Paulista (Unesp)Escola Superior de Ciências da Saúde/FEPECS/ SESBolognani, Cláudia Vicari [UNESP]De Sousa Moreira Reis, Lílian Barros [UNESP]Dias, Adriano [UNESP]De Mattos Paranhos Calderon, Iracema [UNESP]2018-12-11T17:18:12Z2018-12-11T17:18:12Z2018-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1371/journal.pone.0192997PLoS ONE, v. 13, n. 2, 2018.1932-6203http://hdl.handle.net/11449/17592810.1371/journal.pone.01929972-s2.0-850424370102-s2.0-85042437010.pdf29668464060628360000-0001-6895-372XScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengPLoS ONE1,164info:eu-repo/semantics/openAccess2024-08-16T14:13:01Zoai:repositorio.unesp.br:11449/175928Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:13:01Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil |
title |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil |
spellingShingle |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil Bolognani, Cláudia Vicari [UNESP] |
title_short |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil |
title_full |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil |
title_fullStr |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil |
title_full_unstemmed |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil |
title_sort |
Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil |
author |
Bolognani, Cláudia Vicari [UNESP] |
author_facet |
Bolognani, Cláudia Vicari [UNESP] De Sousa Moreira Reis, Lílian Barros [UNESP] Dias, Adriano [UNESP] De Mattos Paranhos Calderon, Iracema [UNESP] |
author_role |
author |
author2 |
De Sousa Moreira Reis, Lílian Barros [UNESP] Dias, Adriano [UNESP] De Mattos Paranhos Calderon, Iracema [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Graduate School of Health Sciences/FEPECS/SES Universidade Estadual Paulista (Unesp) Escola Superior de Ciências da Saúde/FEPECS/ SES |
dc.contributor.author.fl_str_mv |
Bolognani, Cláudia Vicari [UNESP] De Sousa Moreira Reis, Lílian Barros [UNESP] Dias, Adriano [UNESP] De Mattos Paranhos Calderon, Iracema [UNESP] |
description |
Background The global increase in C-section rates is real. In Brazil, these indices correspond to 58.94% in the Midwest region and 52.77% in the Federal District. Objective To evaluate the C-section rates and identify the groups with the greatest risk at two reference hospitals in the public network of Federal District/Brazil, using 10-Group Robson System. Method A cross-sectional study of 6579 births assisted at the Hospital A (HA) and the Hospital B (HB) during 2013. The C-section rates in each group and its respective contribution to the total hospital C-sections was compared between HA and HB. To this, was used the proportion difference test (similar to chi-square test), with RR and 95% CI, and the logistic regression analysis (OR; 95% CI) among the groups with higher C-section/total C-section. The significance limit of p < 0.05 was defined for all tests. Results The C-section rates were 50.8% at the HA and 42.3% at the HB, with 1.20 RR (95%CI = 1.13–1.28) at the HA. The highest rates were observed in Robson groups G5, G1, and G2. At the HA, G1 had a 21.5% C-section rate, which was greater than at the HB (13.8%; p < 0.05); the cesarean rates for groups G2 and G5 were higher at the HB (respectively, 18.6 and 38.1%) than at the HA (14.8 and 32.5%, respectively; p < 0.05). Conclusion These results point out specific goals to be achieved in order to reduce abusive cesarean rates in both A and B hospitals, especially in the primigravida and in those with previous C-section. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-11T17:18:12Z 2018-12-11T17:18:12Z 2018-02-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1371/journal.pone.0192997 PLoS ONE, v. 13, n. 2, 2018. 1932-6203 http://hdl.handle.net/11449/175928 10.1371/journal.pone.0192997 2-s2.0-85042437010 2-s2.0-85042437010.pdf 2966846406062836 0000-0001-6895-372X |
url |
http://dx.doi.org/10.1371/journal.pone.0192997 http://hdl.handle.net/11449/175928 |
identifier_str_mv |
PLoS ONE, v. 13, n. 2, 2018. 1932-6203 10.1371/journal.pone.0192997 2-s2.0-85042437010 2-s2.0-85042437010.pdf 2966846406062836 0000-0001-6895-372X |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
PLoS ONE 1,164 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128201892823040 |