Objective:To analyze the caesarean deliveries attended in our hospital, grouping them according to the Robson Classification System and to establish measures in order to reduce caesarean delivery rates.Method: Prospective study of all the deliveries attended at Hospital Doctor Peset in 2019 using the Robson classification.Results: A total of 1113 births have been analyzed with a total cesarean section rate of 25.3%.The largest contribution to the total cesarean delivery rate with 34.4% was group 2A (nulliparous women with a single fetus in cephalic presentation, 37 weeks or more pregnant who started labor by induction).Secondly, group 5 (multiparous women with at least previous cesarean section, with single cephalic fetus, 37 weeks or more pregnant) which represents the 20.1% of the total.Inductions in nulliparas multiply the cesarean section rate by 3 compared to nulliparas that initiate labor spontaneously.Conclusions: Robson's classification is a tool that allows to easily classify and analyze the groups in which to implement measures to reduce the number of caesarean sections performed.Analyzing the induction indications and reviewing action protocols could suppose a substantial decrease in the caesarean section rate in our center.
Tópico:
Cardiac, Anesthesia and Surgical Outcomes
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FuenteRevista chilena de obstetricia y ginecología