根据罗布森分类的分娩分布:三级医疗机构的经验

Canan Tapkan, Bengü Mutlu Sütçüoğlu, Elif Yi̇lmaz
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引用次数: 0

摘要

研究目的本研究旨在根据罗布森分类法对本院产科门诊实施的剖宫产进行评估,并确定影响剖宫产率的罗布森组别。研究方法该研究旨在回顾性分析在安卡拉阿塔图尔克疗养院培训与研究医院就诊的剖腹产患者的情况,这些患者的分娩是根据罗布森十组分类系统进行的。我们的研究对象包括在本院产房住院、在本院分娩且无任何产科风险因素的孕妇。患者的人口统计学数据来自医院病历:根据纳入标准,对其中 550 名患者的数据进行了评估。其中 249 例为剖腹产。剖腹产率为 45.3%。根据罗布森分类法,6.80%的剖腹产孕妇属于第一组(空腹、头先露、≥37周、单胎、外伤自发发生),12.0%的剖腹产孕妇属于第二组(空腹、头先露、≥37周、外伤发生前引产或引产后剖腹产、单胎):土耳其的剖宫产率为54.4%,初次剖宫产率为26.5%。无证剖腹产后,产妇发病率和死亡率以及围产期发病率的风险会增加,从而对产妇、新生儿和经济健康造成负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Distribution of Deliveries According to Robson Classification: Experiences in Tertiary Care
Objective: In this study, we aimed to evaluate the cesarean deliveries performed in the obstetrics clinic of our hospital according to the Robson classification and to determine the Robson group affecting the cesarean section rates. Methods: The aim of the study was to retrospectively analyse caesarean deliveries in patients who applied to Ankara Ataturk Sanatorium Training and Research Hospital and whose deliveries were performed by using the Robson Ten Group Classification System. Our study group included pregnant women who were admitted to the delivery room of our hospital, who gave birth in our hospital and who did not have any obstetric risk factors. Demographic data of the patients were obtained from hospital records. Results: According to the inclusion criteria, the data of 550 of these patients were evaluated. Accordingly, 249 of the deliveries were by caesarean section. The rate of caesarean section among all deliveries was 45.3%. 6.80% of the pregnant women who delivered by caesarean section were in the first group according to Robson classification (nulliparous, head presentation, ≥37 weeks, singleton, spontaneous onset of trauma) and 12.0% were in the second group according to Robson classification (nulliparous, head presentation, ≥37 weeks, induced or induced caesarean section before the onset of trauma, singleton). Conclusion: The cesarean section rate in Turkey was 54.4% and the primary cesarean section rate was 26.5%. The risk of maternal morbidity and mortality and perinatal morbidity increases after an off-label caesarean section, leading to negative consequences in terms of maternal, neonatal and economic health.
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