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Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain

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Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain

dc.contributor.author	Vila-Candel, Rafael
dc.contributor.author	Martín-Arribas, Anna
dc.contributor.author	Escuriet, Ramón
dc.contributor.author	Castro-Sánchez, Enrique
dc.contributor.author	Soriano-Vidal, Francisco Javier
dc.date.accessioned	2021-03-10T09:43:10Z
dc.date.available	2021-03-10T09:43:10Z
dc.date.issued	2020
dc.identifier.citation	Vila-Candel, Rafael Martín-Arribas, Anna Escuriet, Ramón Castro-Sánchez, Enrique Soriano-Vidal, Francisco Javier 2020 Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain International Journal Of Environmental Research And Public Health 17 1575
dc.identifier.uri	https://hdl.handle.net/10550/78225
dc.description.abstract	Background: The WHO recommends the use of the Robson ten-group classification system (RTGCS) as an effective monitoring and analysis tool to assess the use of caesarean sections (CS). The present study aimed to conduct an analysis of births using the RTGCS in La Ribera University Hospital over nine years and to assess the levels and trends of CS births. Methods: Retrospective study between January 1, 2010, and December 31, 2018. All eligible women were allocated in RTGCS to determine the absolute and relative contribution made by each group to the overall CS rate; linear regression and weighted least squares regression analysis were used to analyze trends over time. The risk of CS of women with induced versus spontaneous onset of labor was calculated with an odds ratio (OR) with a 95% CI. Results: 16,506 women gave birth during the study period, 19% of them by CS. Overall, 20.4% of women were in group 1 (nulliparous, singleton cephalic, term, spontaneous labor), 29.4% in group 2 (nulliparous, singleton cephalic, term, induced labor or caesarean before labor), and 12.8% in group 4 (multiparous, singleton cephalic, term, induced or caesarean delivery before labor) made the most significant contributions to the overall rate of CS; Conclusions: In our study, Robson Groups 1, 2, and 4, were identified as the main contributors to the hospital's overall CS rate. The RTGCS provides an easy way of collecting information about the CS rate, is a valuable clinical method that allows standardized comparison of data, and time point, and identifies the groups driving changes in CS rates.
dc.language.iso	eng
dc.relation.ispartof	International Journal Of Environmental Research And Public Health, 2020, vol. 17, p. 1575
dc.subject	Obstetrícia
dc.title	Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain
dc.type	journal article	es_ES
dc.date.updated	2021-03-10T09:43:10Z
dc.identifier.doi	10.3390/ijerph17051575
dc.identifier.idgrec	136551
dc.rights.accessRights	open access	es_ES