Implementation of the Robson 10-Group Classification System at Hospital de Manises: Optimization of the cesarean delivery rate / Aplicación de los diez grupos de Robson en el hospital de Manises: racionalización de la tasa de Cesárea
González Lorente, Carlos; Gil Raga, Fernando.
Prog. obstet. ginecol. (Ed. impr.)
; 61(1): 16-21, ene.-feb. 2018. tab, graf
Artigo
em Inglês
| IBECS (Espanha) | ID: ibc-171497
Background:
In view of the excessive increase in the incidence of cesarean delivery in recent decades, the World Health Organization proposes the 10-Group Classification System of Robson et al as a global standard for the classification of cesarean delivery in order to achieve optimal cesarean delivery rates of between 10% and 15%.Objective:
To evaluate the implementation of the 10-Group Classification System in Hospital de Manises as an objective criterion for identifying groups of pregnant women at the highest risk of cesarean delivery and the clinical conditions that most affect the overall rate.Methods:
A retrospective cohort study was performed of all deliveries attended at Hospital de Manises from January 1, 2015 to December 31, 2016.Results:
There were 3171 deliveries with a total cesarean delivery rate of 16.08%. The highest rate of cesarean delivery (97.6%) was located in group 6 (all nulliparous breeches). The largest contribution to the total cesarean delivery rate was in group 2 (nulliparous, single cephalic, ≥37 weeks, induced or cesarean before labor), which accounted for 4.5% of the total.Conclusions:
The 10-Group Classification System is easily implemented and enables identification of risk groups for cesarean delivery and of the clinical conditions that most impact this approach (AU)
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Localização: BNCS
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