Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification
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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ftdoajarticles:oai:doaj.org/article:299a44ff63234e86b93c6f89df8d5f8a 2023-05-15T15:13:17+02:00 Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification Yluska Myrna Meneses Brandão e Mendes Daphne Rattner 2021-02-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.16 https://doaj.org/article/299a44ff63234e86b93c6f89df8d5f8a EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/53289 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.16 https://doaj.org/article/299a44ff63234e86b93c6f89df8d5f8a Revista Panamericana de Salud Pública, Vol 45, Iss 16, Pp 1-8 (2021) cesarean section information systems hospitals teaching brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.16 2022-12-31T05:28:50Z 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
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cesarean section information systems hospitals teaching brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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cesarean section information systems hospitals teaching brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Yluska Myrna Meneses Brandão e Mendes Daphne Rattner Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification |
topic_facet |
cesarean section information systems hospitals teaching brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
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. |
format |
Article in Journal/Newspaper |
author |
Yluska Myrna Meneses Brandão e Mendes Daphne Rattner |
author_facet |
Yluska Myrna Meneses Brandão e Mendes Daphne Rattner |
author_sort |
Yluska Myrna Meneses Brandão e Mendes |
title |
Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification |
title_short |
Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification |
title_full |
Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification |
title_fullStr |
Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification |
title_full_unstemmed |
Cesarean sections in Brazil’s teaching hospitals: an analysis using Robson Classification |
title_sort |
cesarean sections in brazil’s teaching hospitals: an analysis using robson classification |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.16 https://doaj.org/article/299a44ff63234e86b93c6f89df8d5f8a |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 16, Pp 1-8 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/53289 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.16 https://doaj.org/article/299a44ff63234e86b93c6f89df8d5f8a |
op_doi |
https://doi.org/10.26633/RPSP.2021.16 |
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Revista Panamericana de Salud Pública |
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45 |
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