Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Similares en SciELO
Compartir
Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
TICONA-HUANCO, Diana et al. Analysis of cesarean sections according to Robson´s classification in a public hospital in Peru. Ginecol. obstet. Méx. [online]. 2019, vol.87, n.10, pp.626-636. Epub 20-Ago-2021. ISSN 0300-9041. https://doi.org/10.24245/gom.v87i10.3301.
OBJECTIVE:
Analyze cesarean sections according to Robson's classification in peruvian public hospital.
MATERIALS AND METHODS:
Analytical cross-sectional study in 64375 deliveries attended at the Hipolito Unanue hospital in Tacna according to Robson´s classification. Cesarean rates, absolute and relative contribution, cesarean sections´ indications and maternal perinatal risks were compared in two periods (2000-2009, 2010-2018). Chi2 was used with statistical significance when p <0.05 and Odds Ratio (OR) with 95% Confidence Interval (95% CI) with significant risk when IC> 1 and p <0.05. The data was obtained from the Perinatal Informatic System and processed in SPSS version 25.
RESULTS:
The overall cesarean section rate was 38.6% with an increase of 23.9% in 2000 to 55.8% in 2018; a predominance of groups 1, 3 and 5 who had greater absolute and relative contribution. The main indications were cephalopelvic disproportion, fetal distress, previous caesarean section and preeclampsia. There was a significantly higher risk of neonatal death in groups 1 (OR = 2.6, 95% IC: 1.28-5.39, p <0.05) and 3 (OR = 3.1, 95% IC: 1.62-5, 79; p <0.05) compared with vaginal deliveries.
CONCLUSIONS:
The cesarean rate increased in the last 19 years, mainly in groups 1, 3 and 5 according to Robson's classification; Group 1 and 3 presented a greater risk of neonatal mortality compared with vaginal deliveries.
Palabras llave : Cesarean Section; Delivery, Obstetric; Cephalopelvic Disproportion; Fetal Distress, Perinatal Death, Pre-Eclampsia; Robson´s Classification.