Keywords
Parturition
Surgical Procedures
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To analyze the cesarean index in hospitals in the Federal District, based on the constituent elements of Robson's classification groups. Methods: This is an ecological, retrospective cross-sectional study. Carried out through the data collected in the Department of Informatics of the Sistema Único de Saúde (Unified Health System) (DATASUS), referring to the Information System on Live Births (SINASC), between the years 2019 and 2020. After data extraction, they were tabulated and analyzed by person's chi-square test, in which it was adopted as a parameter for significance level P<0.05. No ethical approval was required because this research used secondary data. Results: 55,477 deliveries were recorded in 2019, of which 52% correspond to cesarean deliveries. Cesarean deliveries were more prevalent in mothers with a higher level of education. The relative contribution of cesarean sections was higher in group 5 (34.84%),2 (17.71%), 1 (11.55%) and 10 (10.56%) representing together 74.66% of cesarean sections during the two years. Conclusion: It is concluded that it is necessary to strengthen public policies to reduce the submission of women to cesarean section improperly, especially in primiparous.
References
ALSULAMI SM, et al. The Rates of Cesarean Section Deliveries According to Robson Classification System During the Year of 2018 Among Patients in King Abdul-Aziz Medical City, Jeddah, Saudi Arabia. Cureus, 2020; 12:11.
ANTUNES MB, et al. Relação entre risco gestacional e tipo de parto na gravidez de alto risco. Revista da Escola de Enfermagem da USP,2020;54:e03526.
BARROS FC, et al. Caesarean sections and the prevalence of preterm and early-term births in Brazil: secondary analyses of national birth registration. BMJ Open, 2018,8: e021538
BHANDARI AKC, et al. Trends and correlates of cesarean section rates over two decades in Nepal.BMC Pregnacy and Childbirth, 2020; 20: 763.
BOERMA T, et al. Global epidemiology of use of and disparities in caesarean sections. The lancet, 2018; 392: 1341-1348.
BOLOGNANI CV, et al. Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil. PloS one, 2018; 13: e0192997.
BRASIL. Companhia de Planejamento do Distrito Federal - CODEPLAN. Diretoria de estudos e políticas sociais. Diretora Gerência de Estudos e Análises de Proteção Social. Nota Técnica, Perfil das mães no Distrito Federal. Brasília (DF);2020. Disponível em: https://www.ipe.df.gov.br/wp-content/uploads/2018/02/NT-Perfil-das-M%C3%A3es-no-Distrito-Federal.pdf. Acessado em: 15 de novembro de 2022
BRASIL. Ministério Da Saúde. Diretrizes Nacionais de Assistência ao parto normal. 2017. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_nacionais_assistencia_parto_normal.pdf. Acessado em: 15 de novembro de 2022.
FREITAS PF, et al. Uso do Sistema de Classificação de Robson na avaliação das taxas de cesariana em Santa Catarina e sua associação com perfil institucional. J. Health Biol Sci, 2019; 8: 1-9.
GIAXI P. Which classification system could empower the understanding of caesarean section rates in Greece? A review of systematic reviews. Eur J Midwifery, 2022; 16: 39.
GOUVEIA MR e FREIRE CHE. Aplicação da classificação de Robson em uma maternidade de Manaus- Amazonas. Revista Eletrônica Acervo Saúde,2022; 15:1-8.
GUIMARÃES RM, et al. Fatores associados ao tipo de parto em hospitais públicos e privados no Brasil. Revista Brasileira de Saúde Materno Infantil, 2017; 17: 571-580.
KNOBEL R, et al. Cesare - an-section rates in Brazil from 2014 to 2016: cross-sectional analysis using the Robson classification. Rev Bras Ginecol Obstet, 2020; 42: 522-528.
MASCARELLO KC, et al. Maternal complications and cesarean section without indication: systematic review and meta-analysis. Revista de saúde publica, 2017; 51: 105.
MU Y, et al. Prior caesarean section and likelihood of vaginal birth, 2012-2016, China. Bull World Health Organ, 2018; 96: 548-557.
ORTIZ-PRADO E, et al. Cesarean section rates in Ecuador: a 13-year comparative analysis between public and private health systems. Rev Panam Salud Publica, 2017; 8: e15.
PAIXÃO ES, et al. Using the Robson classification to assess caesarean section rates in Brazil: an observational study of more than 24 million births from 2011 to 2017. BMC Pregnancy Childbirth, 2021; 21: 589.
PYYKONEN A, et al. Cesarean section trends in the Nordic Countries – a comparative analysis with the Robson classification. Acta Obstetricia et Gynecologica Scandinavica, 2017; 96: 607-616.
RAMOS GGF, et al. Cesarean rates according to the Robson classification: analysis in a municipal maternity in São Paulo. Einstein, 2022; 13: 20.
RUDEY EL, et al. Cesarean section rates in Brazil. Medicine (Baltimore), 2020; 99: 17.
SILVA LF, et al. Estudo da incidência de cesáreas de acordo com a classificação de Robson em uma maternidade pública. Femina, 2020; 48: 16-21.
SILVA TPR, et al. Fatores associados ao parto normal em maternidades públicas e privadas: estudo transversal. Revista Brasileira de Enfermagem, 2019; 73: e20180995.
TITA AT, Adverse Maternal and Neonatal Outcomes in Indicated Compared with Spontaneous Preterm Birth in Healthy Nulliparas: A Secondary Analysis of a Randomized Trial. Am J Perinatol, 2018; 35: 624-631.
World Health Organization Human Reproduction Programme. Statement on caesarean section rates. 2015. Disponível em: http://apps.who.int/iris/bitstream/10665/161442/1/WHO_RHR_15.02_eng.pdf. Acessado em: 15 de novembro de 2022
WORLD HEALTH ORGANIZATION (WHO). Robson Classification: Implementation, Manual. Geneva: World Health Organization; 2017. Disponível em: https://www.who.int/publications/i/item/9789241513197. Acessado em: 15 de novembro de 2022.
VOGEL JP. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. The Lancet Global Health, 2015; 3: e260-e270.