Cesarean section rates in a university hospital based on the Robson classification
Abstract
Objective: to describe the cesarean section rates in a university hospital using the Robson Classification. Method: descriptive and cross-sectional, based on data from the Live Birth Information System of deliveries happened in a university hospital, between 2015 and 2017. Results: there was a progressive increase in the route of cesarean delivery and the consequent maintenance of the high general rate of cesarean sections. A considerable number of parturient women had favorable obstetric conditions for vaginal delivery and, if nurse midwives had accompanied them, their chances of having a vaginal delivery could have increased. The greatest group in the Robson Classification was the multiparous group, with previous cesarean section and full-term pregnancy (group 5), which is probably related to the high number of cesarean sections identified in primiparous women (group 1) and the limitations of the labor induction methods. Conclusion: the use of the Robson Classification has enabled us to know, with more specificity, the profile of women submitted to cesarean section in the service, which may subsidize the preparation of more effective strategies and consistent with the reality in coping with high rates of cesarean section.
Downloads
References
Betran AP, Ye J, Moller A-B, Zhang J,Gulmezoglu AM, Torloni MR. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates. PLoS ONE. 2016; 11(2): e0148343. DOI: https://doi.org/10.1371/journal.pone.0148343.
World Health Organization. Declaração da Organização Mundial de Saúde sobre as taxas de Cesáreas. 2015. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_por.pdf?sequence=3
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Portaria nº306, de 28 de março de 2016. Aprova as Diretrizes de Atenção a Gestante: a operação cesariana. Brasília (DF): Ministério da Saúde; 2016. Disponível em: http:// http://bvsms.saude.gov.br/bvs/saudelegis/sas/2016/prt0306_28_03_2016.html
Leão MRC, Riesco MLG, Schneck CA, Angelo M. Reflexões sobre o excesso de cesarianas no Brasil e a autonomia das mulheres. Ciênc Saúde Colet. 2013; 18(8):2395-2400. DOI: http://dx.doi.org/10.1590/S1413-81232013000800024.
Entringer AP, Pinto M, Dias MAB, Gomes MASM. Análise de custo-efetividade do parto vaginal espontâneo e da cesariana eletiva para gestantes de risco habitual no Sistema Único de Saúde. Cad. Saúde Pública [online]. 2018; 34(5): e00022517. DOI: http://dx.doi.org/10.1590/0102-311x00022517.
Leal et al. Progress in childbirth care in Brazil: preliminar results of two evaluation studies. Cad. Saúde Pública. 2019; 35(7): e00223018. DOI: https://doi.org/10.1590/0102-311x00223018.
Tapia V, Betran AP, Gonzales GF. Caesarean Section in Peru: Analysis of Trends Using the Robson Classification System. PLoS ONE. 2016; 11(2): e0148138. DOI: https://10.1371/journal.pone.0148138.
Pyyk€onen A, Gissler M, Løkkegaard E, Bergholt T, Rasmussen SC, Smárason A, et al. Cesarean section trends in the Nordic Countries – a comparative analysis with the Robson classification. Acta Obstet Gynecol Scand. 2017; 96(5): 607–616. DOI: https:// 10.1111/aogs.13108.
Nakamura-Pereira, M., do Carmo Leal, M., Esteves-Pereira, A.P. et al. Use of Robson classification to assess cesarean section rate in Brazil: the role of source of payment for childbirth. Reprod Health. 2016; 13(128): 246-265. DOI: https://doi.org/10.1186/s12978-016-0228-7.
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Manual prático para implementação da Rede Cegonha. Brasília (DF): Ministério da Saúde; 2011. Disponível em: http://www.saude.pi.gov.br/ckeditor_assets/attachments/138/DOCUMENTOS_REDE_CEGONHA.pdf
Ministério da Saúde (BR). Projeto Ápice On - Aprimoramento e Inovação no Cuidado e Ensino em Obstetrícia e Neonatologia. Brasília (DF): Ministério da Saúde. 2017. Disponível em: https://portaldeboaspraticas.iff.fiocruz.br/apice/wp-content/uploads/2018/03/Apice-ON-2017-09-01-DIGITAL-WEBSITE.pdf
Betrán, AP, Vindevoghel, N., Souza, JP, Gülmezoglu, AM, & Torloni, MR. A systematic review of the Robson classification for caesarean section: what works, doesn't work and how to improve it. PLoS One. 2014; 9(6): e97769. DOI: https://10.1371/journal.pone.0097769.
Robson Classification: Implementation Manual. Geneva: World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. Disponível em: http://apps.who.int/iris.
Rattner D, Moura EC. Nascimentos no Brasil: associação do tipo de parto com variáveis temporais e sociodemográficas. Rev. Bras. Saúde Matern. Infant. 2016; 16(1): 39-47. DOI: https://doi.org/10.1590/1806-93042016000100005.
Bolognani CV, Reis LBSM, Dias A, Calderon IMP. Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil. PLOS ONE. 2018; 13(2): e0192997. DOI: https://doi.org/10.1371/journal.pone.0192997.
Cóppola F. Cesáreas em Uruguay. Rev Med Uruguay. 2015; 31(1):7-14. Disponível em: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-03902015000100002.
Zhang J, Geerts C, Hukkelhoven C, Offerhaus P, Zwart J, De Jonge A. Caesarean section rats in subgroups of women and perinatal outcomes. British Journal of Obstetrics and Gynaecology. 2016; 123(5):754–761. DOI: https://10.1111/1471-0528.13520.
Freire HSS, Campos FC, Castro RCMB, Costa CC, Mesquita VJ, Viana RAA. Normal birth assisted by nurse: experience and satisfaction of puerperals. Rev. enferm. UFPE on line. 2017; 11(6): 2357-67. DOI: https://doi.org/10.5205/1981-8963-v11i6a23398p2357-2367-2017.
Medeiros RMK, Teixeira RC, Nicolini AB, Alvares AS, Corrêa ÁCP, Martins DP. Humanized Care: insertion of obstetric nurses in a teaching hospital. Rev Bras Enferm. 2016; 69(6):1091-98. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0295.
Sena CD, Santos TCS, Carvalho CMF, Moraes Sá AC, Paixão GPN. Avanços e retrocessos da enfermagem obstétrica no Brasil. Rev Enferm UFSM. 2012; 2(3):523-9. DOI: http://dx.doi.org/10.5902/217976923365.
Bolognani CV, Reis LBSM, Dias A, Calderon IMP. Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil. PLoS ONE. 2018; 13(2): e0192997. DOI: https:// 10.1371 / journal.pone.0192997.
Marshall NE, Fu R, Guise JM. Impacto de múltiplos partos cesáreos na morbidade materna: uma revisão sistemática. Am J Obstet Gynecol. 2011; 205(3): 262 e1-8. DOI: 10.1016/j.ajog.2011.06.035.
Scapin SQ, Gregorio VRP, Collaco VS, Knobel R. Indução de parto em um hospital universitário: métodos e desfechos. Texto contexto - enferm [online]. 2018; 27(1): e0710016. DOI: http://dx.doi.org/10.1590/0104-07072018000710016.
Dhodapkar SB, Bharavi S, Daniel M, Chauhan NS, Chauhan RC. Analysis of caesarean sections according to Robson’s ten group classification system at a tertiary care teaching hospital in South India. Int J Reprod Contracept Obstet Gynecol. 2015; 4(3):745-749. DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20150085.
Horey D, Davey MA, Small R, Kealy M, Crowther CA. Interventions for supporting pregnant women’s decision-making about mode of birth after a caesarean. Cochrane Database of Systematic Reviews. 2013; 7(010041). DOI: https://10.1002/14651858.CD010041.pub2.
Torres JA, Domingues RMSM, Sandall J, Hartz Z, Gama SGN, Filha MMT, Schilithz AOC, Leal MC. vet al. Caesarean section and neonatal outcomes in private hospitals in Brazil: comparative study of two different perinatal models of care. Cad Saúde Pública [online]. 2014; 30(1): 220-231.DOI: http://dx.doi.org/10.1590/0102-311X00129813.
Guimarães EA de A, Vieira CS, Nunes FDD, Januario GC, Oliveira VC, Tiburcio JD. Prematurity and associated factors in Divinópolis, Minas Gerais state, Brazil, 2008-2011: analysis of the Information System on Live Births. Epidemiol Serv Saude. 2017; 26(1): 91 - 98. DOI: http://dx.doi.org/10.5123/s1679-49742017000100010.
Stevanato JM, Gaíva MAM, Mathias TAF. Análise da qualidade do sistema de informações sobre nascidos vivos. Ciênc Cuid Saúde. 2017; 16(2). DOI: https://10.4025/cienccuidsaude.v16i2.36509.
Copyright (c) 2020 Ciência, Cuidado e Saúde
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
