{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:07:07Z","timestamp":1787065627442,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,2,13]],"date-time":"2015-02-13T00:00:00Z","timestamp":1423785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"CNPq - Brazilian National Research Council","award":["402702\/2008-5"],"award-info":[{"award-number":["402702\/2008-5"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the distribution of women with severe maternal morbidity according to Robson Ten Group Classification System (RTGCS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of a multicenter cross\u2010sectional study in 27 obstetric units in Brazil, using RTGCS. Cases were classified into potentially life\u2010threatening condition or a maternal near miss or death, according to severity. Certain groups were subdivided for further analysis. Cesarean delivery (CD) rates were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 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\u2010threatening, 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The RTGCS was useful to consider severe maternal morbidity, showing groups with higher CD rates and worse maternal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.12155","type":"journal-article","created":{"date-parts":[[2015,2,13]],"date-time":"2015-02-13T08:41:14Z","timestamp":1423816874000},"page":"38-47","source":"Crossref","is-referenced-by-count":11,"title":["Robson Ten Group Classification System Applied to Women with Severe Maternal Morbidity"],"prefix":"10.1111","volume":"42","author":[{"given":"Elton Carlos","family":"Ferreira","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine at the University of Campinas Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Laura","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine at the University of Campinas Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1285-8445","authenticated-orcid":false,"given":"Jos\u00e9 Guilherme","family":"Cecatti","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine at the University of Campinas Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samira M.","family":"Haddad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine at the University of Campinas Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Angela","family":"Parpinelli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine at the University of Campinas Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Robson","sequence":"additional","affiliation":[{"name":"National Maternity Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Brazilian Network for Surveillance of Severe Maternal Morbidity Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2010.196816"},{"key":"e_1_2_7_3_1","volume-title":"The Millennium Development Goals Report 2013","author":"UN Department of Economic and Social 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