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Abstract
Objective: To evaluate the indication for cesarean section in adolescents aged 10 to 19 years according to the Robson classification. Methods: A cross-sectional observational study with adolescent parturients undergoing cesarean section between June 2023 and June 2024 at the Regional Hospital of the Federal District. Data were collected retrospectively from the unified Trackcare system of the State Health Secretariat of the Federal District. Results: The study included 107 patients who met the inclusion criteria. The mean age was 17.6±1.3 years. The most frequent Robson classifications were group 1 (25.2%), group 2 (42.1%), and group 6 (10.3%). The primary reason for cesarean section in adolescent pregnant women was acute fetal distress (38.3%). Approximately 57.9% of deliveries were induced; in groups 2 and 4, 51.7% were induced with misoprostol (mean of 3±2 tablets, range 1-6), and 31% with oxytocin. Fetal presentation was cephalic in 87.9% of cases. Conclusion: Groups 1, 2, and 6 represent the main clinical challenges, with fetal distress and induction failure being key factors in group 2. In group 6, prematurity and abnormal presentation impacted obstetric management. Neonatal risk was higher in more complex groups.
References
APTER D. Contraception options: aspects unique to adolescent and young adult. Best Pract Res Clin Obstet Gynaecol, 2018; 48: 115-27.
ARAÚJO AKL e NERY IS. Conhecimento sobre contracepção e fatores associados ao planejamento de gravidez na adolescência. Cogitare Enferm, 2018; 23(2): 55841.
BETRAN AP, et al. Trends and projections of caesarean section rates: global and regional estimates. BMJ Glob Health, 2021; 6(6): 5671.
BRASIL. Comissão Nacional de Incorporação de Tecnologias no SUS, Secretaria de Ciência, Tecnologia e Insumos Estratégicos, Ministério da Saúde. Diretrizes de atenção à gestante: a operação cesariana. 2016. Disponível em: http ://conitec.gov.br/images/Consultas/Relatorios/2016/Relatorio_Diretrizes_Cesariana_N179.pdf.
BRASIL. Internações hospitalares no SUS – por local de internação. DATASUS. 2024b. Disponível em: http ://tabnet.datasus.gov.br/cgi/deftohtm.exe?sih/cnv/sxuf.def.
BRASIL. Notificações de violência sexual contra crianças e adolescentes no Brasil, 2015 a 2021. Boletim Epidemiológico nº 8, v. 54. Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. 29 fev. 2024a. Disponível em: https ://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/edicoe s/202 3/boletim-epidemiologico-volume-54-no-08/view.
BRASIL. Sistema de Informações sobre Nascidos Vivos – SINASC. Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. 2024c. Disponível em: https ://datasus.saude.gov.br/informacoes-de-saude-tabnet/.
CFM. Código de Ética Médica: Resolução CFM nº 2.217, de 27 de setembro de 2018, modificada pelas Resoluções CFM nº 2.222/2018 e 2.226/2019. Conselho Federal de Medicina, 2019.
CORTEZ MB, et al. Análise das complicações clínico-obstétricas em gestantes adolescentes segundo a Classificação de Robson. Rev Enferm UERJ, 2021; 29: 49539.
DOMINGUES RMSM, et al. Processo de decisão pelo tipo de parto no Brasil: da preferência inicial das mulheres à via de parto final. Cad Saúde Pública, 2014; 30(1): 101-16.
FEBRASGO. 2º Fórum sobre Aspectos Éticos e Legais no Atendimento de Adolescentes. Feminina. Federação Brasileira das Associações de Ginecologia e Obstetrícia, 2020; 48(2).
GUROL-URGANCI I, et al. Use of induction of labour and emergency caesarean section and perinatal outcomes in English maternity services: A national hospital-level study. BJOG, 2022; 129: 1899-1906.
MATEI A, et al. Investigating Caesarean Section Practice among Teenage Romanian Mothers Using Modified Robson Ten Group Classification System. Int J Environ Res Public Health, 2021; 18(20): 10727.
NAKAMURA-PEREIRA M, et al. Use of Robson classification to assess cesarean section rate in Brazil: the role of source of payment for childbirth. Reprod Health, 2016; 13(3): 128.
RUDEY EL, et al. Cesarean section rates in Brazil: trend analysis using the Robson classification system. Medicine (Baltimore), 2020; 99(17): 19880.
WHO. WHO statement on caesarean section rates. 2015b. Disponível em: http ://apps.who.int/iris/bit stream/10665/161442/3/WHO_RHR_15.02_por.pdf.
WHO. WHO Statement on Caesarean Section Rates. Geneva: World Health Organization, 2015.
ZAHROH RI, et al. Interventions targeting healthcare providers to optimise the use of caesarean section: a qualitative comparative analysis to identify important intervention features. BMC Health Serv Res, 2022; 22: 1526.