Gutiérrez-Martínez S, Fernández-Martínez MN, Adánez-García JM, Fernández-Fernández C, Pérez-Prieto B, García-Gallego A, Gómez-Salgado J, Medina-Díaz M, Fernández-García D. Applying the Modified Ten-Group Robson Classification in a Spanish Tertiary Hospital.
J Clin Med 2023;
13:252. [PMID:
38202259 PMCID:
PMC10780088 DOI:
10.3390/jcm13010252]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 12/23/2023] [Accepted: 12/29/2023] [Indexed: 01/12/2024] Open
Abstract
BACKGROUND
Caesarean section is necessary to save the lives of mothers and newborns at times, but it is important to perform it only when it is essential due to all the risks involved. This study aimed to examine the rate of caesarean sections performed at a tertiary hospital using the Robson classification to detect methods for the detection of and/or reduction in these caesarean section rates.
METHODS
A descriptive, cross-sectional study of a retrospective database was carried out.
RESULTS
A total of 10,317 births were assessed. The Robson classification was used to assess these interventions and verify whether the indication for performed caesarean sections was appropriate. In total, 2036 births by caesarean section were performed in the whole sample. The annual caesarean section rate varied between 18.67% and 21.18%.
CONCLUSIONS
Caesarean sections increased by about 20% in 2021 compared to 2020 even though the trend over the years of study was decreasing. Vaginal delivery after caesarean section is a reasonable and safe option. Caesarean section rates could be improved, mostly in Robson's Group 2. The Robson classification facilitated progress in the implementation of measures aimed at improving care and adjusting caesarean section rates.
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