Robson Ten Group Classification System Applied To Women With Severe Maternal Morbidity

dc.creatorFerreira
dc.creatorElton Carlos; Costa
dc.creatorMaria Laura; Cecatti
dc.creatorJose Guilherme; Haddad
dc.creatorSamira M.; Parpinelli
dc.creatorMary Angela; Robson
dc.creatorMichael S.
dc.date2015-MAR
dc.date2016-06-07T13:16:48Z
dc.date2016-06-07T13:16:48Z
dc.date.accessioned2018-03-29T01:37:25Z
dc.date.available2018-03-29T01:37:25Z
dc.identifier
dc.identifierRobson Ten Group Classification System Applied To Women With Severe Maternal Morbidity. Wiley-blackwell, v. 42, p. 38-47 MAR-2015.
dc.identifier0730-7659
dc.identifierWOS:000350108200005
dc.identifier10.1111/birt.12155
dc.identifierhttp://onlinelibrary.wiley.com/doi/10.1111/birt.12155/abstract
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/242179
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1305877
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.descriptionObjectiveTo 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.
dc.description42
dc.description1
dc.description
dc.description38
dc.description47
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description[402702/2008-5]
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description
dc.description
dc.description
dc.languageen
dc.publisherWILEY-BLACKWELL
dc.publisher
dc.publisherHOBOKEN
dc.relationBIRTH-ISSUES IN PERINATAL CARE
dc.rightsfechado
dc.sourceWOS
dc.subjectCesarean-section Rate
dc.subjectTrends
dc.subjectEpidemiology
dc.subjectDeliveries
dc.subjectMortality
dc.subjectBirths
dc.subjectRates
dc.titleRobson Ten Group Classification System Applied To Women With Severe Maternal Morbidity
dc.typeArtículos de revistas


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