CESAREAN SECTION RATES FROM A REFERENCE HOSPITAL FOR HIGH-RISK PREGNANCIES
DOI:
https://doi.org/10.54620/cadesp.v18i1.1859Keywords:
Cesarean Section, Pregnancy High-Risk, ParturitionAbstract
To compare cesarean section rates of a hospital according to the Robson Classification System (RCS) between the years 2022 and 2023. This is an observational, cross-sectional, and retrospective study conducted through a standardized questionnaire based on the medical records data of the maternity ward of the Hospital Regional Norte, where 95% of the parturients are at high risk. All women undergoing cesarean section between January and September of 2022 and the same period in 2023 were included. There was no significant change in the pro-portion of cesarean deliveries between the 2 years. Groups 5, 2, and 4 of the RCS, in this order, had the highest cesarean rates in both years, as observed in the literature available on the subject. It is concluded that there were no significant changes in cesarean rates and the proportion among RCS groups in the 2 years analyzed.
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Cedro MO, Rosalmeida EGVB, Cruz JL, Almagro MB, Leornado GMN, Sousa AMM. Atuação interdisciplinar no curso de gestantes do Centro de Saúde da Família Doutor Grijalba Mendes Carneiro em Sobral - CE. Cadernos ESP [Internet]. 2019 set. 17;[citado 2024-1-13];4(1):38-44. Disponível em: https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/32.
Organização Mundial da Saúde - OMS. Declaração da OMS sobre Taxas de Cesáreas. Genebra: 2015. Disponível em: https://iris.who.int/bitstream/handle/10665/161442/WHO_RHR_15.02_por.pdf;jsessionid=3FAB8C1007098847BEF7245F0B5451F2?sequence=3. Consulta em: 20/10/2023.
Fundação Oswaldo Cruz – Fiocruz. Nascer no Brasil: inquérito nacional sobre parto e nascimento [Internet]. Rio de Janeiro: Escola Nacional de Saúde Pública; 2015 Disponível em: http://www.ensp.fiocruz.br/portal-ensp/informe/site/arquivos/anexos/nascerweb.pdf. Acesso em 15 dez 2023.
Lins JJ, et al. A aplicação da Classificação de Robson nas maternidades brasileiras como ferramenta para redução das taxas de cesariana: uma revisão de literatura. 2021. Disponível em: https://www.repositorio.ufal.br/handle/123456789/8062. Acesso em 15 dez 2023.
Moreira ANC, Basile ALO, Aguemi AK. Capacitação de diferentes profissionais na aplicação da Classificação de Robson. Rev Paul Enferm [Internet]. 2019;30. DOI: https://doi.org/10.33159/25959484. repen.2019v30a3.
Robson MS. Classification of caesarean sections. Fetal Matern Med Rev. 2001;12(1): 23-39. DOI: https://doi.org/10.1017/S0965539501000122.
Tura AK, Pijpers O, Man M, Cleveringa M, Koopmans I, Gure T, et al. Analysis of caesarean sections using Robson 10-group classification system in a university hospital in eastern Ethiopia: a cross-sectional study. BMJ Open. 2018;8(4). DOI: https://doi.org/10.1136/bmjopen-2017-020520.
Reis AM, Beltrame RCT, Arantes RBS, Correa ÁCP, Martins DP. Taxas de cesarianas em um hospital universitário a partir da classificação de Robson. Ciên Cuid Saúde. 2020;19. DOI: https://doi.org/10.4025/ciencuidsaude.v19i0.47196.
Petrônio CCAD. Classificação de Robson na redução das taxas de cesariana. Universidade Federal do Rio Grande do Norte; 2019.
Fundação Oswaldo Cruz - Fiocruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Classificação de Robson. Rio de Janeiro, 2018. Disponível em: https://www.arca.fiocruz.br/handle/icict/29751. Acesso em: 15 dez. 2023.
Vargas S, Rego S, Clode N. Cesarean section rate analysis in a tertiary hospital in Portugal according to Robson ten group classification system. Rev Bras Gineco Obst. 2020;42:310-5.
Quibel T, Rozenberg P, Bouyer C, Bouyer J. Variation between hospital caesarean delivery rates when Robson’s classification is considered: An observational study from a French perinatal network. PloS One. 2021;16(8):e0251141.
Bracic T, Pfniß I, Taumberger N, Kutllovci-Hasani K, Ulrich D, Schöll W, Reif P. A 10 year comparative study of caesarean deliveries using the Robson 10 group classification system in a university hospital in Austria. Plos One. 2020;15(10):e0240475.
Pulvermacher C, Van de Vondel P, Gerzen L, Gembruch U, Welchowski T, Schmid M, Merz WM. Analysis of cesarean section rates in two German hospitals applying the 10-Group Classification System. J Perin Med. 2021;49(7):818-29.
Jason B, Assar TM, Nucier AAAAR, Raziq HEAA, Saad ASAE, Amer WM. Analysis of the caesarean section rate using the 10-Group Robson classification at Benha University Hospital, Egypt. Women and Birth. 2020;33(2):e105-e110.
Abdallah W, Abi Tayeh G, Cortbaoui E, Nassar M, Yaghi N, Abdelkhalek Y, et al. Cesarean section rates in a tertiary referral hospital in Beirut from 2018 to 2020: Our experience using the Robson Classification. Int J Gyn Obst. 2022;156(2):298-303.
Anekpornwattana S, Yangnoi J, Jareemit N, Borriboonhiransan D. Cesarean section rate in Siriraj hospital according to the Robson classification. Thai J Obst Gyn. 2020:6-15.
World Health Organization. Appropriate technology for birth. Lancet. 1985;2(8452):436-437. Disponível em: https://pubmed.ncbi.nlm.nih.gov/2863457/. Acesso em: 15 dez 2023.
Silva LF, Almeida CPSD, Batista DDF, Mariani Neto C. Estudo da incidência de cesáreas de acordo com a Classificação de Robson em uma maternidade pública. Femina. 2020;48(2):114-21. Disponível em: https://docs.bvsalud.org/biblioref/2020/03/1052454/femina-2019-482-114-121.pdf. Acesso em: 15 dez 2023.
Hehir MP, Ananth CV, Siddiq Z, Flood K, Friedman AM, D’Alton ME. Cesarean delivery in the United States 2005 through 2014: a population-based analysis using the Robson 10-Group Classification System. Amer J Obst Gyn. 2018;219(1):05-e1. DOI: https://doi.org/10.1016/j.ajog.2018.04.012.
Le Ray C, Blondel B, Prunet C, Khireddine I, Deneux‐Tharaux C, Goffinet F. Stabilising the caesarean rate: which target population?. BJOG: An Inter J Obst Gyneco. 2015;122(5):690-9. DOI: https://doi.org/10.1111/1471-0528.13199.
Roberge S, Dubé E, Blouin S, Chaillet N. Reporting caesarean delivery in Quebec using the Robson classification system. J Obst Gyn Can. 2017;39(3):152-6. DOI: https://doi.org/10.1016/j.jogc.2016.10.010.
Zhang J, Geerts C, Hukkelhoven C, Offerhaus P, Zwart J, De Jonge A. Caesarean section rates in subgroups of women and perinatal outcomes. BJOG: An Inter J Obst Gyn. 2016;123(5):754-61. DOI: https://doi.org/10.1111/1471-0528.13520.
Freitas PF, Vieira HGM. Uso do Sistema de Classificação de Robson na avaliação das taxas de cesariana em Santa Catarina e sua associação com perfil institucional. J Heal Biol Sci. 2020;8(1):1-9. DOI: https://doi.org/10.12662/2317-3076jhbs.v8i1.2736.p1-9.2020.
Brasil. Ministério da Saúde. Portal da Saúde. Brasília: 2017. Disponível em: http://www2.datasus.gov.br/DATASUS/index.php?area=0901&item=1&acao=28. Acesso em: 15 dez 2023.
Vogel JP, Betrán AP, Vindevoghel N, Souza JP, Torloni MR, Zhang J, et al. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. The Lancet Glob Heal. 2015;3(5):e260-e270. DOI: https://doi.org/10.1016/S2214-109X(15)70094-X.
Guimarães EADA, Vieira CS, Nunes FDD, Januário GDC, Oliveira VCD, et al. Prevalência e fatores associados à prematuridade em Divinópolis, Minas Gerais, 2008-2011: análise do Sistema de Informações sobre Nascidos Vivos. Epidem Serv Saúde. 2017;26:91-8. DOI: https://doi.org/10.5123/S1679-49742017000100010.
Riscado LC, Jannotti CB, Barbosa RHS. A decisão pela via de parto no Brasil: temas e tendências na produção da saúde coletiva. Tex Cont Enfer. 2016;25:e3570014.
Medeiros RMK, Teixeira RC, Nicolini AB, Alvares AS, Corrêa ÁCDP, et al. Humanized Care: insertion of obstetric nurses in a teaching hospital. Rev Bras Enf. 2016;69:1091-8. Doi: https://doi.org/10.1590/0034-7167-2016-0295.
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