Artículos de revistas
Robson Ten Group Classification System Applied To Women With Severe Maternal Morbidity
Registro en:
Robson Ten Group Classification System Applied To Women With Severe Maternal Morbidity. Wiley-blackwell, v. 42, p. 38-47 MAR-2015.
0730-7659
WOS:000350108200005
10.1111/birt.12155
Autor
Ferreira
Elton Carlos; Costa
Maria Laura; Cecatti
Jose Guilherme; Haddad
Samira M.; Parpinelli
Mary Angela; Robson
Michael S.
Institución
Resumen
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) ObjectiveTo evaluate the distribution of women with severe maternal morbidity according to Robson Ten Group Classification System (RTGCS). MethodsSecondary analysis of a multicenter cross-sectional study in 27 obstetric units in Brazil, using RTGCS. Cases were classified into potentially life-threatening condition or a maternal near miss or death, according to severity. Certain groups were subdivided for further analysis. Cesarean delivery (CD) rates were reported. ResultsAmong 7,247 women with severe maternal morbidity, 73.2 percent underwent CD. Group 10 (single, cephalic, preterm) was the most prevalent (33.9%). Groups mostly associated with a severe maternal outcome were: 7 (multiparous, breech), 9 (all abnormal lies, single, term), 8 (all multiple), and 10. Groups 1 (nulliparous, single, cephalic, term, spontaneous) and 3 (multiparous, single, cephalic, term, spontaneous) were associated with better maternal outcome. Group 3 had one severe maternal morbidity to 29 cases of potentially life-threatening, but the ratio was 1:10 for women undergoing CD, indicating a worse outcome. Group 4a (multiparous, no previous CD, single, cephalic, term, induced labor) had a better maternal outcome than those delivered by CD before labor (group 4b). Hypertension was the most common condition of severity. ConclusionsThe RTGCS was useful to consider severe maternal morbidity, showing groups with higher CD rates and worse maternal outcomes. 42 1
38 47 Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) [402702/2008-5] Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)