Abstract
To analyze the rates of cesarean delivery longitudinally in a university hospital using the Robson classification. Data related to births performed between 2014 and 2018 and recorded in the Maternal and Neonatal Health Information System (Sistema de Informações em Saúde Materna e Neonatal, SISMATER, in Portuguese) were analyzed using the Robson classification. As an aid, we used articles published in the last five years that approach the same topic in other Brazilian maternity hospitals; they were retrieved from the LILACS, MEDLINE, CINAHL, Scopus, Web of Science and Cochrane Library databases. There was little variation in the total rate of cesarean sections in the period; however, the profile of each group changed over the years. It was possible to verify a significant reduction in the participation of groups of pregnant women with lower risk and an increase in high-risk pregnancies, attributable to the decrease in beds in the institution, with a greater transfer of patients. In addition, there was a reduction in cesarean sections among the lower-risk groups, while the rate among the higher-risk groups remained stable. The use of the Robson classification to stratify cesarean deliveries contributes to a better analysis of the indications for cesarean delivery, enabling the establishment of strategies to reduce the rates, generating a positive impact on hospital management and quality of care.
Highlights
The first record of a cesarean section (CS) in a live parturient dates back to around 1500, and previously CSs were performed only after maternal death, to save the fetus
The use of the Robson classification to stratify cesarean deliveries contributes to a better analysis of the indications for cesarean delivery, enabling the establishment of strategies to reduce the rates, generating a positive impact on hospital management and quality of care
In Brazil, the World Health Organization (WHO) recommendation was applied to maternity hospitals through the Adequate Childbirth Program – which was proposed by the National Agency for Supplementary Health (Agência Nacional de Saúde Suplementar, in Portuguese) along with Hospital Albert Einstein and the Institute for Healthcare Improvement, which aims to reduce the CS rates – and the Apice On Project – which was developed by the Nursing School at UFMG with 95 institutions, whose goal is the humanization of childbirth in the Brazil regarding the basic training of professionals against the rising morbimortality indicators.[11–13]
Summary
The first record of a cesarean section (CS) in a live parturient dates back to around 1500, and previously CSs were performed only after maternal death, to save the fetus Over time, this surgery has improved and is currently considered safe, but it still presents risks for the mother and the newborn.[1] By definition, CS is a procedure in which the fetus is removed through an abdominal incision. This surgery has improved and is currently considered safe, but it still presents risks for the mother and the newborn.[1] By definition, CS is a procedure in which the fetus is removed through an abdominal incision Such practice, does not provide justifiable benefits from the point of view of maternal and newborn health when not indicated, presenting more risks than potential benefits. Since 1985, the WHO suggests that CS rates remain between 10% and 15%.3 From a critical point of view, it can be said that this objective is unattainable in certain populations, since it does not take into account the social realities of geosocial stratification
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
