{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T09:48:45Z","timestamp":1762249725718,"version":"3.37.3"},"reference-count":11,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"08","license":[{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To analyze the rates of cesarean delivery longitudinally in a university hospital using the Robson classification.<\/jats:p><jats:p>\n          Methods\u2003Data related to births performed between 2014 and 2018 and recorded in the Maternal and Neonatal Health Information System (Sistema de Informa\u00e7\u00f5es em Sa\u00fade Materna e Neonatal, SISMATER, in Portuguese) were analyzed using the Robson classification. As an aid, we used articles published in the last five years that approach the same topic in other Brazilian maternity hospitals; they were retrieved from the LILACS, MEDLINE, CINAHL, Scopus, Web of Science and Cochrane Library databases.<\/jats:p><jats:p>\n          Results\u2003There was little variation in the total rate of cesarean sections in the period; however, the profile of each group changed over the years. It was possible to verify a significant reduction in the participation of groups of pregnant women with lower risk and an increase in high-risk pregnancies, attributable to the decrease in beds in the institution, with a greater transfer of patients. In addition, there was a reduction in cesarean sections among the lower-risk groups, while the rate among the higher-risk groups remained stable.<\/jats:p><jats:p>\n          Conclusion\u2003The use of the Robson classification to stratify cesarean deliveries contributes to a better analysis of the indications for cesarean delivery, enabling the establishment of strategies to reduce the rates, generating a positive impact on hospital management and quality of care.<\/jats:p>","DOI":"10.1055\/s-0040-1713910","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T22:40:03Z","timestamp":1599604803000},"page":"448-453","source":"Crossref","is-referenced-by-count":3,"title":["Improving the Management of High-Risk Pregnancies with the Use of the Robson Classification"],"prefix":"10.61622","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4198-0546","authenticated-orcid":false,"given":"Mario Dias","family":"Correa Junior","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9449-7171","authenticated-orcid":false,"given":"B\u00e1rbara Moreira Ribeiro Trindade dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0158-1586","authenticated-orcid":false,"given":"Jos\u00e9 Reinaldo Correa","family":"Roveda","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8781-1428","authenticated-orcid":false,"given":"Laura Carolina Menezes Vieira","family":"Silva","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5368-5387","authenticated-orcid":false,"given":"Larissa Silva","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Medical School, Centro Universit\u00e1rio de Belo Horizonte, Belo Horizonte, MG, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2359-3422","authenticated-orcid":false,"given":"Samuel Crist\u00f3v\u00e3o Lopes","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2020,9,8]]},"reference":[{"key":"ref1","first-page":"171","volume-title":"A primeira opera\u00e7\u00e3o cesariana em parturiente viva","author":"J M Rezende","year":"2009"},{"volume-title":"Robson Classification: implementation manual [Internet]","year":"2017","author":"World Health Organization","key":"ref4"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1017\/S0965539501000122","article-title":"Classification of caesarean sections","volume":"12","author":"M S Robson","year":"2001","journal-title":"Fetal Matern Med Rev"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1111\/1471-0528.14774","article-title":"Audit and feedback using the Robson classification to reduce caesarean section rates: a systematic review","volume":"125","author":"A A Boatin","year":"2018","journal-title":"BJOG"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ejogrb.2015.03.030","article-title":"Identification of obstetric targets for reducing cesarean section rate using the Robson Ten Group Classification in a tertiary level hospital","volume":"189","author":"S Triunfo","year":"2015","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"S 01","key":"ref8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s13224-015-0738-1","article-title":"Examining cesarean delivery rates using the Robson's Ten-group Classification","volume":"66","author":"R G Yadav","year":"2016","journal-title":"J Obstet Gynaecol India"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.ijgo.2014.11.026","article-title":"The Robson ten-group classification system for appraising deliveries at a tertiary referral hospital in Brazil","volume":"129","author":"E C Ferreira","year":"2015","journal-title":"Int J Gynaecol Obstet"},{"issue":"S 03","key":"ref10","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1186\/s12978-016-0228-7","article-title":"Use of Robson classification to assess cesarean section rate in Brazil: the role of source of payment for childbirth","volume":"13","author":"M Nakamura-Pereira","year":"2016","journal-title":"Reprod Health"},{"volume-title":"Cartilha nova organiza\u00e7\u00e3o do cuidado ao parto e nascimento para melhores resultados de sa\u00fade: Projeto Parto Adequado - fase 1 [Internet]","year":"2016","author":"Ag\u00eancia Nacional de Sa\u00fade Suplementar, Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein, Institute for Healthcare Improvement","key":"ref11"},{"volume-title":"Apice on: aprimoramento e inova\u00e7\u00e3o no cuidado e ensino em obstetr\u00edcia e neonatologia [Internet]","year":"2017","author":"Minist\u00e9rio da Sa\u00fade. Secretaria de Aten\u00e7\u00e3o \u00e0 Sa\u00fade","key":"ref12"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"105","DOI":"10.11606\/S1518-8787.2017051000389","article-title":"Maternal complications and cesarean section without indication: systematic review and meta-analysis","volume":"51","author":"K C Mascarello","year":"2017","journal-title":"Rev Saude Publica"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/improving-the-management-of-high-risk-pregnancies-with-the-use-of-the-robson-classification\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1713910.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:56:03Z","timestamp":1721336163000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/improving-the-management-of-high-risk-pregnancies-with-the-use-of-the-robson-classification\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":11,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2020,9,8]]},"published-print":{"date-parts":[[2020,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1713910","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"type":"print","value":"0100-7203"},{"type":"electronic","value":"1806-9339"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}