Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
Rev Bras Enferm. 2024 Jul 29;77(3):e20230099. doi: 10.1590/0034-7167-2023-0099. eCollection 2024.
to evaluate the trends in cesarean sections from 2014 to 2020 across both public and private sectors, utilizing the Robson Classification.
this time series study analyzed the proportion of women who underwent cesarean sections between 2014 and 2020, considering both the Robson classification and the type of healthcare service. Trend analysis was conducted using the Prais-Winsten regression.
higher proportions of cesarean sections were observed in all Robson groups within the private sector compared to the public sector. This was despite a decreasing trend in the private sector and an increasing trend in the public sector. Notably, elevated proportions of cesarean sections were recorded in groups that are typically favorable to normal childbirth (Robson 1, 4, and 5).
although there was a decreasing trend in cesarean sections within the private sector, an increasing trend was observed in the public sector. Additionally, there was a high proportion of cesarean sections among women with conditions favorable to normal childbirth. It is crucial to continuously monitor these indicators to evaluate and implement interventions aimed at reducing unnecessary cesarean sections.
利用 Robson 分类法评估 2014 年至 2020 年公共和私营部门剖宫产的趋势。
本时间序列研究分析了 2014 年至 2020 年间接受剖宫产的妇女比例，同时考虑了 Robson 分类和医疗服务类型。使用 Prais-Winsten 回归进行趋势分析。
与公共部门相比，私营部门所有 Robson 组的剖宫产比例均较高。尽管私营部门呈下降趋势，而公共部门呈上升趋势。值得注意的是，在通常有利于正常分娩的组（Robson 1、4 和 5）中记录了较高的剖宫产比例。
尽管私营部门的剖宫产率呈下降趋势，但公共部门呈上升趋势。此外，在有利于正常分娩的情况下，妇女的剖宫产比例也很高。持续监测这些指标对于评估和实施旨在减少不必要剖宫产的干预措施至关重要。
