Cesarean section rates in Lithuania using Robson Ten Group Classification System
| Autor: | Gintarė Kemeklienė, Rūta Jolanta Nadišauskienė, Laima Maleckienė, Dalia Regina Railaitė, Eglė Barčaitė, Arnoldas Bartusevičius |
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| Rok vydání: | 2015 |
| Předmět: |
System
medicine.medical_specialty Medicine (General) Vaginal birth Obstetric care Birth rate Clinical audit R5-920 Pregnancy Robson Ten Group Classification System 618.5-089.888.61 [udc] Cesarean section Lithuania Medicine Humans Prospective Studies Statistics & numerical data Birth Rate Medicine(all) business.industry Obstetrics Spontaneous labor Induction of labor medicine.disease Ten group classification system Parity Cross-Sectional Studies Robson Ten Group Classification Classification of cesarean section Automotive Engineering Female business |
| Zdroj: | Medicina, Vol 51, Iss 5, Pp 280-285 (2015) Medicina; Volume 51; Issue 5; Pages: 280-285 Medicina, Wrocław : Elsevier, 2015, vol. 51, no. 5, p. 280-285 Medicina Volume 51 Issue 5 Pages 280-285 |
| ISSN: | 1010-660X |
| DOI: | 10.1016/j.medici.2015.09.001 |
| Popis: | Background and objective: The aim of this study was to analyze cesarean section (CS) rates using Robson Ten Group Classification System (TGCS) and to identify the main contributors to the overall CS rate in Lithuania. Materials and methods: A prospective cross-sectional study was carried out. All women who delivered between January 1 and December 31, 2012, in Lithuania were classified using the TGCS. The CS rates overall and in each Robson group were calculated, as was the contribution of each group to the overall CS rate. Results: The CS rate was 26.4% (6697 among 25,373 deliveries) in 2012. Nulliparous women with single cephalic full-term pregnancy in spontaneous labor (Group 1) or who underwent induction of labor or prelabor CS (Group 2) and multiparous women with a previous CS (Group 5) were the greatest contributors (67.7%) to the overall CS rate. In addition, significant variation of CS rates between different institutions was observed, especially in women with single cephalic full-term pregnancy without previous CS (Groups 1–4), showing big differences in obstetric care across country. Conclusions: Women in Groups 1, 2 and 5 were the largest contributions to the overall CS rate in Lithuania. It seems that efforts to reduce the overall CS rate should be directed on increasing vaginal birth after CS and reducing CS rates in nulliparous women with single cephalic full-term pregnancy (Groups 1 and 2). |
| Databáze: | OpenAIRE |
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