Departamento de Ginecologia, Obstetrícia e Medicina da Reprodução, Hospital de Santa Maria, Centro Hospitalar de Lisboa Norte, Lisboa, Portugal.
Rev Bras Ginecol Obstet. 2020 Jun;42(6):310-315. doi: 10.1055/s-0040-1712127. Epub 2020 Jun 30.
The Robson 10 group classification system (RTGCS) is a reproducible, clinically relevant and prospective classification system proposed by the World Health Organization (WHO) as a global standard for assessing, monitoring and comparing cesarean section (CS) rates. The purpose of the present study is to analyze CS rates according to the RTGCS over a 3-year period and to identify the main contributors to this rate.
We reviewed data regarding deliveries performed from 2014 up to 2016 in a tertiary hospital in Portugal, and classified all women according to the RTGCS. We analyzed the CS rate in each group.
We included data from 6,369 deliveries. Groups 1 ( = 1,703), 2 ( = 1,229) and 3 ( = 1,382) represented 67.7% of the obstetric population. The global CS rate was 25% ( = 1,594). Groups 1, 2, 5 and 10 were responsible for 74.2% of global CS deliveries.
As expected, Groups 1, 2, 5 and 10 were the greatest contributors to the overall CS rate. An attempt to increase the number of vaginal deliveries in these groups, especially in Groups 2 and 5, might contribute to the reduction of the CS rate.
罗伯逊 10 组分类系统（RTGCS）是世界卫生组织（WHO）提出的一种可重复、具有临床相关性和前瞻性的分类系统，作为评估、监测和比较剖宫产率的全球标准。本研究的目的是根据 RTGCS 在 3 年内分析剖宫产率，并确定导致这一比率的主要因素。
我们回顾了葡萄牙一家三级医院 2014 年至 2016 年期间的分娩数据，并根据 RTGCS 对所有妇女进行分类。我们分析了每个组的剖宫产率。
我们纳入了 6369 例分娩的数据。第 1 组（ = 1703）、第 2 组（ = 1229）和第 3 组（ = 1382）占产科人群的 67.7%。全球剖宫产率为 25%（ = 1594）。第 1、2、5 和 10 组负责全球 74.2%的剖宫产分娩。
正如预期的那样，第 1、2、5 和 10 组是导致总体剖宫产率的最大因素。尝试增加这些组中阴道分娩的数量，特别是第 2 和第 5 组，可能有助于降低剖宫产率。
