Análise dos partos cesáreos realizados no estado de Sergipe sob a perspectiva da Classificação de Robson

Abstract

Objective: To evaluate the association between type of delivery, sociodemographic and obstetric variables; to analyze cesarean deliveries performed in state of Sergipe under the perspective of Robson's classification; to know the relationship between Robson's groups, type of hospital financing and obstetric risk. Methods: A cross-sectional study derivative from Nascer em Sergipe project that was a cohort study conducted between June 2015 and April 2016. A total of 768 puerperal women and their infants were evaluated through face-to-face interviews and extraction of medical record‟s information. The data were demonstrated by simple frequency and percentage. Associations and ratio differences were tested by Pearson Chi-Square test and Z test with Yates correction, respectively. The level of significance adopted was 5%. Results: Patients with age between 20 and 30 years, higher schooling, paid work, with one or two previous births, high obstetric risk, private sector users and who gave birth in the capital had a significant association with cesarean section. The cesarean rate in women classified in Robson system was 36.2%. The highest cesarean rates occurred in groups 9, 7 and 6 (100%, 95.2% and 87.1%, respectively). Groups 1 and 5 had the biggest cesarean contribution rates, both with 8.5%. In the private sector, group 2 (31%) contributed the most to the number of cesareans, while in the public sector it was group 1 (29.9%). Conclusions: In state of Sergipe, women who contribute most to the cesarean rate are nulliparous with a single in spontaneous labor and pregnant women with previous cesarean section. In the private sector, nulliparous women who didn‟t have spontaneous labor represented the group that contributed most to the cesarean rate.