Usefulness of the WHO C-Model to optimize the cesarean delivery rate in a tertiary hospital setting.
Int J Gynaecol Obstet
; 137(1): 40-44, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-28099759
OBJECTIVE: To assess use of the C-Model in a tertiary hospital setting in terms of its validity and utility for optimizing the cesarean delivery (CD) rate. METHODS: A prospective observational study included women admitted for delivery at a university teaching hospital in Assiut, Egypt, in 2015. The women were asked about the demographic and obstetric information needed to calculate the probability of CD using the WHO C-Model. A receiver operating characteristic (ROC) curve comparing the predicted and observed CD rates was constructed. In addition, the mean predicted CD rates were compared with the mean observed CD rates in the 10 groups of the Robson classification. RESULTS: In total, 1000 women were recruited; 38.6% had a previous CD and 13.5% had complications during the current pregnancy. The final mode of delivery was vaginal delivery in 38.7% and CD in 61.3%; the predicted CD rate for this cohort was 45.0%. The area under the ROC curve was 0.928 (95% confidence interval 0.912-0.945). Comparison of the predicted and observed CD rates in the 10 Robson groups showed an overuse of CD ranging from 2% to 50%. CONCLUSION: The WHO C-Model is valid and can be used in hospital settings to optimize CD rates.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Cesárea
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Revista:
Int J Gynaecol Obstet
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Egito