基于Robson十组分类系统的卡拉布里亚地区剖宫产率趋势:一项基于人口的研究。

Q3 Medicine
Francesca Zambri, Edoardo Corsi Decenti, Alice Maraschini, Jessica Preziosi, Gabriella Tambascia, Vincenza Di Stefano, Francesca Marchetti, Caterina Azzarito, Daniela Lico, Serena Donati, Anna Domenica Mignuoli, Roberta Venturella, Angela Giusti
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引用次数: 0

摘要

背景:全球剖宫产率的上升引起了对孕产妇和新生儿结局的关注。意大利是欧洲(尤其是卡拉布里亚地区)儿童性侵率最高的国家之一,在减少这一趋势方面面临着挑战。卡拉布里亚地区加入了“Easy-Net”网络计划(NET-2016-02364191),以评估审计和反馈(A&F)干预措施,以降低CS率。本研究旨在分析过去的趋势,描述母性单位(MU)特征,并使用罗布森十组分类系统(TGCS)提供CS率的基线评估。方法:这项基于人群的横断面研究使用国家和地区出生登记处的数据分析CS率,对患有罗布森氏TGCS的妇女进行分类。结果:2017年至2020年,卡拉布里亚地区共登记出生54,041人。结果显示,不同Robson组的CS率波动(36.2%-38.1%)。第5组(既往CS)持续增加,影响总体发生率,而第1组(无产、头位、自然分娩)下降。2b组(6.8%-4.8%)和4b组(2.5%-1.8%),分别代表未产和多产的产前CS妇女,尽管近年来发病率有所下降,但仍显示出较高的发病率。2020年,11个国家的疟疾发病率差异凸显了复杂性,强调了采取局部干预措施的必要性。结论:该研究突出了卡拉布里亚地区高CS率的关键问题。建议通过循证干预措施监测和减少不必要的CSs,利用Robson分类和A&F策略。这些发现对今后加强CS适当性和改善孕产妇和儿童健康结果的努力具有指导意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Caesarean section rate trend in the Calabria Region according to Robson's Ten Group Classification System: a population-based study.

Background: The global increase in caesarean section (CS) rates raises concerns about maternal and neonatal outcomes. Italy, with one of the highest CS rates in Europe, especially in the Calabria Region, faces challenges in reducing this trend. The Calabria Region has joined the "Easy-Net" Network Program (NET-2016-02364191) for the evaluation of audit & feedback (A&F) interventions to reduce CS rate. This study aims to analyze past trends, describe maternity unit (MU) characteristics, and provide a baseline assessment of CS rates using the Robson's Ten Group Classification System (TGCS).

Methods: This population-based cross-sectional study analyses CS rates using data from National and Regional Birth Registers, categorizing women with the Robson's TGCS.

Results: From 2017 to 2020, 54,041 births were registered in the Calabria Region. The results reveal a fluctuating CS rate (36.2%-38.1%) with variations from different Robson groups. Group 5 (previous CS) consistently increased, impacting overall rates, while Group 1 (nulliparous, cephalic, spontaneous labor) decreased. The groups 2b (6.8%-4.8%) and 4b (2.5%-1.8%), which represent respectively nulliparous and multiparous women with pre-labour CS, showed high rates despite their reduction over the years. In 2020, variations in CS rates across 11 MUs highlighted complexities, emphasizing the need for localized interventions.

Conclusions: The study highlights the critical issue of high CS rates in the Calabria Region. It is advisable to monitor and reduce unnecessary CSs through evidence-based interventions, taking advantage of the Robson classification and an A&F strategy. These findings guide future efforts to enhance CS appropriateness and improve maternal and child health outcomes.

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来源期刊
Recenti progressi in medicina
Recenti progressi in medicina Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
143
期刊介绍: Giunta ormai al sessantesimo anno, Recenti Progressi in Medicina continua a costituire un sicuro punto di riferimento ed uno strumento di lavoro fondamentale per l"ampliamento dell"orizzonte culturale del medico italiano. Recenti Progressi in Medicina è una rivista di medicina interna. Ciò significa il recupero di un"ottica globale e integrata, idonea ad evitare sia i particolarismi della informazione specialistica sia la frammentazione di quella generalista.
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