Cesarean sections in Brazil's teaching hospitals: an analysis using Robson Classification/Cesareas en los hospitales universitarios de Brasil: analisis empleando la clasificacion de Robson/Cesareas em hospitais de ensino no Brasil: analise de acordo com a Classificacao de Robson
Objective. To determine the distribution of cesarean sections performed in teaching hospitals participating in the Project for Improvement and Innovation in the Care and Teaching of Obstetrics and Neonatology (Apice ON) using the Robson Classification. Methods. Cross-sectional descriptive study on c...
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| Published in: | Revista panamericana de salud pública 2021-01, Vol.45 |
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| Main Authors: | , |
| Format: | Article |
| Language: | spa |
| Online Access: | Get full text |
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| Summary: | Objective. To determine the distribution of cesarean sections performed in teaching hospitals participating in the Project for Improvement and Innovation in the Care and Teaching of Obstetrics and Neonatology (Apice ON) using the Robson Classification. Methods. Cross-sectional descriptive study on cesarean sections performed at Apice ON hospitals according to the Robson Classification, using secondary data from the 2017 Live Births Information System on the year prior to project implementation, hence a baseline study. Hospitals are described according to their geographic distribution and cesarean section rates, using absolute and relative frequencies. Results. The proportions of newborns by Robson groups were similar to those proposed by the World Health Organization, except for Group 5 (with previous cesarean section) and Group 10 (preterm), with regional differences. The teaching hospitals' average cesarean section rates ranged from 24.8% to 75.1%, exceeding by far the recommended values, even in Robson groups considered low risk for cesarean section (Groups 1 to 4). Conclusions. Brazilian teaching hospitals displayed cesarean section rates higher than those recommended by the World Health Organization for all groups; a worrisome fact, as by teaching they induce attitudes in future professional practices. These results highlight the importance of a reliable information system. Monitoring and evaluation of cesarean sections using the Robson Classification can be an important tool to guide management and propose actions to reduce rates. Countries with high cesarean section rates might explore this hypothesis in their teaching hospitals in order to define policies for the reduction of their rates. Keywords Cesarean section; information systems; hospitals, teaching; Brazil. Objetivo. Utilizar la clasificacion de Robson para determinar la distribucion de las cesareas realizadas en los hospitales universitarios que participan en el proyecto para la mejora y la innovacion en la atencion y la ensenanza de la obstetricia y la neonatologia (Apice ON). Metodos. Se empleo la clasificacion de Robson para realizar un estudio descriptivo transversal sobre las cesareas realizadas en los hospitales del proyecto Apice ON. Se utilizaron datos secundarios procedentes del Sistema de Informacion de Nacidos Vivos del 2017 correspondientes al ano anterior a la ejecucion del proyecto, a modo de estudio de referencia. Los hospitales se clasifican segun su distribucion geografica |
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| ISSN: | 1020-4989 1680-5348 |