Gestational risk as a determining factor for cesarean section according to the robson classification groups / Risco gestacional como fator determinante para cesariana de acordo com os grupos da Classificação Robson
Soares, Karina Biaggio; Klein, Vanessa Cristina Grolli; Lima, José Antônio Reis Ferreira de; Gadenz, Lucas; Paulo, Larissa Emile; Konopka, Cristine Kolling.
Rev. bras. ginecol. obstet
; 43(2): 84-90, Feb. 2021. tab, graf
Artículo
en Inglés
| LILACS | ID: biblio-1156087
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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