Herrera-Zarate Guadalupe Esmeralda, Cardona-Torres Luz María
Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 49, Servicio de Medicina Familiar. Celaya, Guanajuato, México.
Instituto Mexicano del Seguro Social, Hospital General de Zona No. 4, Departamento de Educación e Investigación en Salud. Celaya, Guanajuato, México.
Rev Med Inst Mex Seguro Soc. 2023 Sep 18;61(Suppl 2):S343-S349.
In recent years, cesarean section (CS) rates have increased alarmingly. The World Health Organization (WHO) proposes to use the Robson classification system as a global standard, which contributes to a better analysis of CS indications, making it possible to establish strategies to reduce them.
To analyze the classification of CS by Robson groups from July to September 2020 at the Hospital General de Zona No. 4 (District General Hospital [DGH] No. 4), in Celaya, Guanajuato.
Retrospective study which included 160 records of women undergoing CS. Robson's group classification was used, and descriptive statistics and cluster analysis were performed to better understand the classification groups.
The average age was 27.6 ± 5.6 years. 53.1% had secondary school; 46.9% was a housewife; 46.3% was laborer; 42.8% were cohabitating; 50% had 1 or more births; 42.5% previous CS; 96.9% 1 fetus; 91.9% cephalic presentation; 78.8% 37 weeks of gestational age or more. Robson's group 5 (previous CS) had the highest percentage (42.5%), followed by group 2 (primiparous) with 20.6%, and group 10 (premature) 13.1%. Cluster analysis formed 3 groups, where cluster 1 and 3 contained group 5 of Robson's classification.
DGH No. 4 must carry out the necessary strategies so that women with a previous cesarean section can have a vaginal delivery, without compromising the well-being of the mother-child pair, in addition to interventions to avoid primary CS, because women in group 1 and 2 will potentially belong to group 5, in the next obstetric event.
近年来，剖宫产率急剧上升。世界卫生组织（WHO）提议将罗布森分类系统作为全球标准，这有助于更好地分析剖宫产指征，从而制定降低剖宫产率的策略。
分析2020年7月至9月瓜纳华托州塞拉亚市第4区综合医院（第4区总医院）剖宫产的罗布森分组情况。
回顾性研究，纳入160例剖宫产妇女的记录。采用罗布森分组分类法，并进行描述性统计和聚类分析，以更好地了解分类组。
平均年龄为27.6±5.6岁。53.1%的人有中学学历；46.9%为家庭主妇；46.3%为劳动者；42.8%为同居；50%有1次或更多次分娩；42.5%曾有剖宫产史；96.9%为单胎；91.9%为头先露；78.8%孕周≥37周。罗布森第5组（曾有剖宫产史）所占百分比最高（42.5%），其次是第2组（初产妇），占20.6%，第10组（早产）占13.1%。聚类分析形成3组，其中聚类1和聚类3包含罗布森分类的第5组。
第4区总医院必须实施必要的策略，使有剖宫产史的妇女能够进行阴道分娩，同时不影响母婴健康，此外还要采取干预措施避免首次剖宫产，因为第1组和第2组的妇女在下一次产科事件中可能会属于第5组。
