Is a Decision Support System Based on Robson's Classification Enough to Reduce Cesarean Section Rates?

J. Gaspar, Z. Reis, Juliana Silva Barra
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Abstract

The cesarean section (CS) rates are important global indicators for measuring the access to obstetric services. In 2001, Robson proposed a CS classification in ten-groups as the most appropriate to compare surgery rates. However, having a decisional support system from Robsons Classification is enough to reduce CS rates? The births analysis that occurred in 2016, inside a public hospital maternity, showed 1,946 deliveries of which 35.7% were CS with a positive growth trend (R2 = 0.137). The monthly analysis of the combined groups 1 to 4 from Robsons Classification allows the development of goals to improve labour assistance, and also preventing CS in parturient groups where preventable.
基于Robson分类的决策支持系统是否足以降低剖宫产率?
剖宫产率是衡量获得产科服务情况的重要全球指标。2001年,Robson提出将CS分为10组作为比较手术率的最合适方法。然而,有一个来自罗布森分类的决策支持系统足以降低CS率吗?2016年在公立医院产科进行的分娩分析显示1946例分娩,其中35.7%为CS,呈正增长趋势(R2 = 0.137)。每月对Robsons分类中合并的1至4组进行分析,可以制定目标,以改善劳动辅助,并在可预防的情况下预防分娩组的CS。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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