scholarly journals Brazilian andforeign cesareas in frontier city: robson classification / Cesáreas de brasileiras e estrangeiras em município de fronteira: classificação de robson

2021 ◽  
Vol 13 ◽  
pp. 1618-1625
Author(s):  
Fabiana Aparecida Spohr ◽  
Ana Tamara Kolecha Giordani Grebinski ◽  
Helder Ferreira ◽  
Marislei Sanches Panobianco ◽  
Rosane Meire Munhak Da Silva ◽  
...  
Keyword(s):  
Robson Classification

Objetivo: analisar a incidência de cesáreas e as condições clínicas de recém-nascidos de mães brasileiras e estrangeiras conforme a classificação de Robson. Método: estudo de corte transversal, retrospectivo e quantitativo, realizado em 2017 e 2018 em Foz do Iguaçu-PR. Foram incluídas mulheres que tiveram parto entre 2012 a 2016 (n=21.129). Para análise realizou o teste de associação Qui-Quadrado ou o teste G com o nível de significância de 5%. Resultados: a incidência de cesáreas foi de 46%. O grupo de Robson que mais contribuiu foi o 5 e grupos que se mostraram expressivos em relação a escores de Apgar inferior a 7 foram 5, 8, 9 e 10. Para estas mulheres, a necessidade de encaminhamento para cuidados intensivos foi mais expressiva para recém-nascidos do grupo 10. Conclusão: a classificação de Robson é importante para gestão clínica, sendo que o grupo 5 apresenta fatores que reduzem a chance de parto vaginal.  

scholarly journals The Project Appropriate Birth and Reduction of Cesarean Section Rates: an analysis using the Robson classification system

2021 ◽  
Author(s):  
Daniela Ferreira D’Agostini Marin ◽  
Amanda Wernke ◽  
Daniela Dannehl ◽  
Dyulie Araujo ◽  
Gustavo Koch ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Classification System ◽  
Phase 1 ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Robson Classification ◽  
Before And After

OBJECTIVE: The objective of this study was to evaluate C-section rates, before and after the implementation of the Project Appropriate Birth based on the Robson 10-group classification system. DESIGN: An observational, cross-sectional study. SETTING: Maternity hospital in South Brazil. POPULATION: All pregnant women attending, April 2016 through April 2017 (phase 1, pre-implementation of the Project Appropriate Birth) and June 2017 through June 2018 (phase 2, post-implementation of the Project Appropriate Birth). METHODS: Maternal and obstetric characteristics were evaluated, including Robson’s classification, based on the characteristics of pregnancy and childbirth. Chi-square test and crude and adjusted prevalence ratios were used to analyze study variables. The significance level was set at 5%. MAIN OUTCOME MEASURES: C-section rate for each group, their contribution to the overall c-section rate and the differences in these contributions before and after PPA implementation. RESULTS: C-section rates decreased from 62.4% to 55.6%, which represented a 10.9% reduction after the implementation of the Project Appropriate Birth. Pregnant women in Robson classification groups 1 through 4 had the greatest decrease in C-section rates, ranging from 49.1% to 38.6%, which represents a 21.5% reduction. The greatest contributors to the overall C-section rates were group 5 and group 2, accounting for more than 60% of the C-section deliveries. CONCLUSION: The Project Appropriate Birth had an important impact on the reduction of C-section rates, especially in Robson classification groups 1 through 4, which indicates that providing mothers with evidence-based interventions for labor and childbirth assistance will contribute to reduce C-section rates.

scholarly journals The ten group Robson classification: an institutional study to analyse the caesarean section rates

2021 ◽  
Author(s):  
Lekshminath Gopinath ◽  
Rajani Vaidya
Keyword(s):  
Caesarean Section ◽  
Policy Making ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Robson Classification ◽  
Relative Contribution ◽  
Obstetrics And Gynaecology ◽  
Vaginal Deliveries ◽  
Group 5

Background: Over the last few decades, there has been an alarming increase in the rate of deliveries by caesarean section (CS) in most of the countries, though the drivers of this trend are not completely understood. In 1985, WHO had proposed that ideal rate for regional CS rates should not exceed 10-15%. The Robson’s classification system is simple, robust and flexible. The study was done as it was important to have a tool to monitor, compare the CS rates in a same setting and between different settings over a period of time and to optimise the CS rates.Methods: It was a retrospective study conducted in the department of obstetrics and gynaecology in a tertiary care centre. The hospital delivery records were reviewed for a period of 15 months from April 2020 to June 2021.Results: The total number of deliveries during the study period was 1016. The total number of CSs was 441 and the total number of vaginal deliveries was 575.The CS rate was 43.4%. The relative contribution from groups 1, 2 and 5 in our study accounted for 76.36% and group 5 accounted for 44.4% of the total CSs. These 3 groups should be the focus of attention to reduce the overall CS rates.Conclusions: It is advisable that all institutions can use the Robson’s report table to analyse the population catered by them and to make institutional specific policies. This will allow comparing the data amongst the different institutions and countries which can help in policy making.

Role of the audit of delivery methods for optimizing the indications for cesarean section and reducing its frequency in clinical practice

2021 ◽  
Vol 20 (2) ◽  
pp. 44-49
Author(s):  
A.A. Churganova ◽  
◽  
M.Kh. Gurzhikhanova ◽  
F.N. Alieva ◽  
S.I. Fedorina ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Fetal Distress ◽  
Labour Induction ◽  
Efficiency Coefficient ◽  
Delivery Methods ◽  
Robson Classification ◽  
Perinatal Center ◽  
Level 3 ◽  
Narrow Pelvis

Objective. To analyze the frequency of indications for cesarean section (CS) and optimize obstetric tactics on the example of a level 3 perinatal center. Materials and methods. We performed retrospective analysis of 7,672 deliveries. Results. The indications for CS included abnormal labour (150; 6.3%), fetal distress (120; 5%), placental abruption (60; 3%), and narrow pelvis (34; 1.4%). Most often (23%) CS was performed in patients with CS scars. Conclusion. The most important step towards reducing the proportion of CS is the change of the approaches to the use of labour induction methods and assessment of the fetus condition. It is extremely important to develop a comprehensive strategy for choosing an optimal delivery method in women with post-CS scars, as well as to perform thorough analysis of the indications for planned and emergency CS. Key words: caesarean section, Robson classification, efficiency coefficient

Robson Classification and quality audit

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gehanath Baral
Keyword(s):  
Cesarean Section ◽  
World Health Organization ◽  
Real Time ◽  
Perinatal Outcome ◽  
World Health ◽  
Related Factors ◽  
Quality Audit ◽  
Robson Classification ◽  
Health Organization

World Health Organization has recommended Robson Classification from baseline obstetric characters to assess, monitor and compare Cesarean Section rates by the quantity analysis. Incorporation of real time labor related factors requires quality audit for both maternal and perinatal outcome.

scholarly journals Improving the Management of High-Risk Pregnancies with the Use of the Robson Classification

2020 ◽  
Vol 42 (08) ◽  
pp. 448-453
Author(s):  
Mario Dias Correa Junior ◽  
Bárbara Moreira Ribeiro Trindade dos Santos ◽  
José Reinaldo Correa Roveda ◽  
Laura Carolina Menezes Vieira Silva ◽  
Larissa Silva Guimarães ◽  
...  
Keyword(s):  
High Risk ◽  
Cesarean Delivery ◽  
Lower Risk ◽  
Positive Impact ◽  
Risk Groups ◽  
University Hospital ◽  
Cochrane Library ◽  
Cesarean Sections ◽  
Robson Classification ◽  
Maternity Hospitals

Abstract Objective To analyze the rates of cesarean delivery longitudinally in a university hospital using the Robson classification. Methods 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. Results 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. Conclusion 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.

Using the 10-group Robson classification to reduce the caesarean section rate among nulliparas

2019 ◽  
Vol 234 ◽  
pp. e114
Author(s):  
Justina Kacerauskiene ◽  
Meile Minkauskiene ◽  
Tahir Mahmood ◽  
Dalia Railaite ◽  
Ruta Nadisauskiene ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Robson Classification

Trends in Cesarean Delivery Rate after Cessation of the One-Child Policy in China

2020 ◽  
Author(s):  
Xiaohua Liu ◽  
Ding Huang ◽  
Mark B. Landon ◽  
Weiwei Cheng ◽  
Yan Chen
Keyword(s):  
Cesarean Delivery ◽  
Chinese Population ◽  
Contribution Rate ◽  
Term Pregnancy ◽  
Robson Classification ◽  
One Child Policy ◽  
Nulliparous Women ◽  
Child Policy ◽  
Scarred Uterus ◽  
The One

Abstract Objective We aimed to describe changes in cesarean delivery (CD) rates after the change of the one-child policy in China by using the Robson classification in a large Chinese population. Study Design This retrospective cohort study included 91,015 women who delivered at ≥24 weeks of gestation at a large tertiary obstetric center in Shanghai, China from 2011 to 2016. We analyzed CD rate trend and CD contribution trend in each Robson group. Logistic regression was used to calculate the odds of CD while adjusting for confounding variables. Results The overall CD rate decreased from 49.0% in 2011 to 40.6% in 2016. In nulliparous women with singleton cephalic term pregnancy and planned CD, the CD contribution rate was reduced significantly from 29.3% in 2011 to 16.4% in 2016 (p < 0.001). In multiparous with a scarred uterus, the CD contribution rate began to increase from 3.8% in 2011 to 9.1% in 2016 (p < 0.001). Compared with delivery in 2011, delivery in 2016 was associated with a 37% (adjusted odds ratio [aOR]: 0.63; 95% confidence interval [CI]: 0.60–0.66) reduction in CD. This reduction was observed in both nulliparous women with singleton cephalic term pregnancy (aOR: 0.57; 95% CI: 0.54–0.60), and multiparous women with singleton cephalic term pregnancy without scar (aOR: 0.41; 95% CI: 0.30–0.55). Conclusion The rate of cesarean delivery in our Chinese population has declined significantly in the past few years.

scholarly journals Applying the Robson classification to routine facility data to understand the Caesarean section practice in conflict settings of South Kivu, eastern DR Congo

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0237450
Author(s):  
Guy Mulinganya ◽  
Espoir Bwenge Malembaka ◽  
Melissa Lukula Akonkwa ◽  
Dieudonné Mpunga Mukendi ◽  
Etienne Kajibwami Birindwa ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Dr Congo ◽  
Robson Classification ◽  
Conflict Settings ◽  
South Kivu

scholarly journals Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain

2020 ◽  
Vol 17 (5) ◽  
pp. 1575 ◽  
Author(s):  
Rafael Vila-Candel ◽  
Anna Martín ◽  
Ramón Escuriet ◽  
Enrique Castro-Sánchez ◽  
Francisco Javier Soriano-Vidal
Keyword(s):  
Classification System ◽  
Weighted Least Squares ◽  
University Hospital ◽  
Analysis Tool ◽  
Least Squares Regression ◽  
Clinical Method ◽  
Robson Classification ◽  
Relative Contribution ◽  
Group 4 ◽  
Group 2

Background: The WHO recommends the use of the Robson ten-group classification system (RTGCS) as an effective monitoring and analysis tool to assess the use of caesarean sections (CS). The present study aimed to conduct an analysis of births using the RTGCS in La Ribera University Hospital over nine years and to assess the levels and trends of CS births. Methods: Retrospective study between January 1, 2010, and December 31, 2018. All eligible women were allocated in RTGCS to determine the absolute and relative contribution made by each group to the overall CS rate; linear regression and weighted least squares regression analysis were used to analyze trends over time. The risk of CS of women with induced versus spontaneous onset of labor was calculated with an odds ratio (OR) with a 95% CI. Results: 16,506 women gave birth during the study period, 19% of them by CS. Overall, 20.4% of women were in group 1 (nulliparous, singleton cephalic, term, spontaneous labor), 29.4% in group 2 (nulliparous, singleton cephalic, term, induced labor or caesarean before labor), and 12.8% in group 4 (multiparous, singleton cephalic, term, induced or caesarean delivery before labor) made the most significant contributions to the overall rate of CS; Conclusions: In our study, Robson Groups 1, 2, and 4, were identified as the main contributors to the hospital’s overall CS rate. The RTGCS provides an easy way of collecting information about the CS rate, is a valuable clinical method that allows standardized comparison of data, and time point, and identifies the groups driving changes in CS rates.

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