Cesarean Section Rate and Perinatal Outcome Analyses According to Robson's 10-Group Classification System.
Objectives: The cesarean delivery (CD) rate is increasing worldwide. An internationally recognized classification system had been required to analyse the trend and its possible consequences in a standardized manner. The goal of this study was to identify the main contributors to the CD rate at the M...
| Publicado en: | Maternal & Child Health Journal Vol. 25; no. 9; pp. 1474 - 1482 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151819372&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151819372 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Sep2021 vid: 25 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151819372 151112968 151819372 151819372 10.1007/s10995-021-03183-7 151819372 ppf: 1474 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Cesarean Section Rate and Perinatal Outcome Analyses According to Robson's 10-Group Classification System. aug: au: Eftekharian, Christabel Husslein, Peter Wolf Lehner, Rainer affil: Division of Obstetrics and Feto-Maternal Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria sug: subj: Cesarean Section Trends Cesarean Section Statistics and Numerical Data Pregnancy Outcomes Evaluation Academic Medical Centers Austria Labor Presentation Nulliparas Multiparas Pregnancy, Twin Human Female Pregnancy Austria Retrospective Design Intensive Care Units, Neonatal Patient Admission Descriptive Statistics Chi Square Test Post Hoc Analysis One-Way Analysis of Variance Apgar Score Clinical Assessment Tools Gestational Age Pregnancy, High Risk Comparative Studies Data Analysis Software Coefficient alpha Inferential Statistics Univariate Statistics Breech Presentation Occiput Posterior Presentation Female ab: Objectives: The cesarean delivery (CD) rate is increasing worldwide. An internationally recognized classification system had been required to analyse the trend and its possible consequences in a standardized manner. The goal of this study was to identify the main contributors to the CD rate at the Medical University of Vienna in an 11-year time period (2003–2013) and to analyse neonatal outcome parameters within the ten Robson categories. Methods: This is a retrospective data-analysis of singleton and twin pregnancies in cephalic, breech and transverse presentation with a gestational age between 23 and 42 weeks. The cases were divided into ten classes based on the Robson criteria. CD rates and perinatal outcome parameters were analysed within each Robson class. The outcome parameters included: NICU-admission rate and 5 min Apgar score values < 7. Results: The overall CD rate was at 44.2%. Within Robson class 5 the CD rate was the highest at 99.1%. Main contributors were Robson class 5 at 20.6%, followed by class 2 at 17.1% and class 8 at 15.0%. Neonatal outcome analyses revealed significant differences between the Robson classes. Conclusions: The main contributors to the CD rate were determined. We suggest reconsidering the frequently applied birth mode especially for Robson class 2, 4, 5 and 8. Lowering the CD rate could be achievable, if a careful delivery management and an individual risk evaluation is provided. It is important to reduce the CD rate in the individual Robson classes under consideration of perinatal outcome parameters, since a reduction should only take place where it is clinically useful and relevant. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|