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Revista Colombiana de Obstetricia y Ginecología

Print version ISSN 0034-7434
On-line version ISSN 2463-0225

Abstract

ZUNIGA-BRICENO, Alma Iris. CESAREAN SECTION CLASSIFICATION ACCORDING TO THE ROBSON MODEL, OBSTETRICS UNIT, SAN FELIPE GENERAL HOSPITAL, HONDURAS, APRIL-JUNE, 2017. Rev Colomb Obstet Ginecol [online]. 2019, vol.70, n.1, pp.19-26. ISSN 0034-7434.  http://dx.doi.org/10.18597/rcog.3186.

Objective:

To classify cesarean sections according to the Robson Model in the obstetrics unit of an intermediate complexity hospital.

Materials and methods:

Descriptive cross-sectional study conducted in the obstetrics unit of the San Felipe General Hospital (HGSF), Tegucigalpa, Honduras, between April and June 2017. Out of 477 clinical records of patients undergoing elective and/ or emergency surgery during the study period, 89 were selected using probabilistic random selection. A descriptive analysis of sociodemographic variables, clinical/obstetric indications, and categories of the Robson model was conducted. Authorization from the institution was obtained.

Results:

The proportion of cesarean sections during the study period was 59.8% (477/797; 95% CI:56.3-63.3). Of the cases studied, 48/89 (53.9%) were classified as “no risk pregnancy” (categories 1-4); the most frequent indications in this group were low fetal reserve in 22/48 (22/48*100%) and cephalopelvic disproportion in 16/48 (16/48*100%). In the “risk group” (categories 5-10), in 41/89 (46.1%), indications were cephalopelvic disproportion and breech presentation, (8/41) (8/41*100%), respectively. The main contributors to cesarean section were groups 1 (17/89; 19.1%), 2 (20/89, 22.5%) and 5 (20/89; 22.5%), for a total of 64.1%.

Conclusion:

The Robson model is applicable in our setting and the classification provides information that can be used as a diagnostic and surveillance tool for cesarean sections in a level II institution.

Keywords : Cesarean section; classification; morbidity and mortality indicators; maternal health services.

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