Spatial distribution of Robson 10‐group classification system and poverty in southern and southeastern Brazil

Brunherotti, Marisa Afonso Andrade; Prado, Marli F.; Martinez, Edson Zangiacomi

doi:10.1002/ijgo.12831

Cited by 3 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on the current results, the cesarean section rate in the HUSM is higher than that found in other national and international studies, but it is similar to the rate recorded for the state, as reported by Brunherotti et al (2019), 25 who found a cesarean section rate of 60.7% in Southern Brazil. Since Group 5 presents a larger number of cesarean sections than the other groups, and since the incidence of previous cesarean section is the main indication for cesarean sections, it is necessary to take actions focused on changing the current scenario, mainly on raising the awareness about first cesarean section avoidance when it is not really necessary.…”

Section: Discussionsupporting

confidence: 87%

Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups

Soares

Klein

Lima

et al. 2021

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

Objective To analyze and compare the frequency of cesarean sections and vaginal deliveries through the Robson Classification in pregnant women attended at a tertiary hospital in two different periods. Methods Cross-sectional, retrospective study of birth records, comprising 4,010 women, conducted from January 2014 to December 2015 in the only public regional referral hospital for the care of high- risk pregnancies, located in Southern Brazil. Results The overall cesarean section rate reached 57.5% and the main indication was the existence of a previous uterine cesarean scar. Based on the Robson Classification, groups 5 (26.3%) and 10 (17.4%) were the most frequent ones. In 2015, there was a significant increase in the frequency of groups 1 and 3 (p < 0.001), when compared with the previous year, resulting in an increase in the number of vaginal deliveries (p < 0.0001) and a reduction in cesarean section rates. Conclusion The Robson Classification proved to be a useful tool to identify the profile of parturients and the groups with the highest risk of cesarean sections in different periods in the same service. Thus, it allows monitoring in a dynamic way the indications and delivery routes and developing actions to reduce cesarean rates according to the characteristics of the pregnant women attended.

show abstract

Section: Discussionsupporting

confidence: 87%

Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups

Soares

Klein

Lima

et al. 2021

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

show abstract

“…In Brazil, the Robson classification system has been previously applied in the national “Birth in Brazil” cohort [ 7 ], and some hospital-based studies in Sao Paulo [ 8 ] and Brasilia [ 9 ]. Using routinely collected birth registration data, the objectives of our study were to (1) estimate the caesarean rate in Brazil stratified by Robson category, (2) assess the extent to which caesarean sections were clinically indicated, and (3) identify any variation across different socioeconomic groups.…”

Section: Introductionmentioning

confidence: 99%

Using the Robson classification to assess caesarean section rates in Brazil: an observational study of more than 24 million births from 2011 to 2017

Paixão

Bottomley

Smeeth

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Applying the Robson classification to all births in Brazil, the objectives of our study were to estimate the rates of caesarean section delivery, assess the extent to which caesarean sections were clinically indicated, and identify variation across socioeconomic groups. Methods We conducted a population-based study using routine records of the Live Births Information System in Brazil from January 1, 2011, to December 31, 2017. We calculated the relative size of each Robson group; the caesarean section rate; and the contribution to the overall caesarean section rate. We categorised Brazilian municipalities using the Human Development Index to explore caesarean section rates further. We estimated the time trend in caesarean section rates. Results The rate of caesarean sections was higher in older and more educated women. Prelabour caesarean sections accounted for more than 54 % of all caesarean deliveries. Women with a previous caesarean section (Group 5) made up the largest group (21.7 %). Groups 6–9, for whom caesarean sections would be indicated in most cases, all had caesarean section rates above 82 %, as did Group 5. The caesarean section rates were higher in municipalities with a higher HDI. The general Brazilian caesarean section rate remained stable during the study period. Conclusions Brazil is a country with one of the world’s highest caesarean section rates. This nationwide population-based study provides the evidence needed to inform efforts to improve the provision of clinically indicated caesarean sections. Our results showed that caesarean section rates were lower among lower socioeconomic groups even when clinically indicated, suggesting sub-optimal access to surgical care.

show abstract

“…A recent ecological study showed that in Brazil, the frequencies of each group of the RTGCS are heterogeneously distributed in the geographic space, with meaningful associations with the proportion of poverty in the different regions [5].…”

Section: Introductionmentioning

confidence: 99%

Variables associated with the Robson Ten-Group Classification System in the State of São Paulo, Brazil

Brunherotti¹,

Martinez

Aragon³

2023

IAJMH

View full text Add to dashboard Cite

This study evaluated the associations between the groups of the Robson Classification System and maternal sociodemographic characteristics among neonates in São Paulo State, Brazil, 2016. The groups 5, 6, 7, 8 and 9 tend to be associated to cesarean delivery and more privileged educational opportunities, while the groups 1, 4 and 3 tend to be associated to vaginal delivery and less privileged educational opportunities. These results reinforce the notion that strategies for reduction of cesarean deliveries should go beyond a biomedical model focused on biological factors, and should also consider the social factors that characterize the living conditions of people.

show abstract

Spatial distribution of Robson 10‐group classification system and poverty in southern and southeastern Brazil

Cited by 3 publications

References 21 publications

Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups

Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups

Using the Robson classification to assess caesarean section rates in Brazil: an observational study of more than 24 million births from 2011 to 2017

Variables associated with the Robson Ten-Group Classification System in the State of São Paulo, Brazil

Contact Info

Product

Resources

About