Clasificación de cesáreas por grupos de Robson en el período octubre-diciembre 2018. Hospital Vicente Corral Moscoso. Cuenca 2018

Abstract

Background: the World Health Organization since 1985 considers that the ideal caesarean section rate should range between 10% and 15% (1). However, in both developed and developing countries the number of C-sections has been increasing (1). In recent years, South America has had the highest cesarean rates worldwide (2). In Ecuador, the cesarean section rate in 2012 was 29.46%, increasing to 33.61% for 2016 (3). Objective: determine the prevailing categories causing caesarean sections according to Robson's classification in the gynecology area of the Vicente Corral Moscoso Hospital in October - December 2018. Methodology: a quantitative, descriptive and retrospective study was carried out, considering all 1025 pregnant women in the October - December 2018, of which our sample was 403 pregnant women undergoing caesarean section. The information, obtained will create a database in Excel 2013 for further analysis in the SPSS version 20.0 statistical package. Results: the global caesarean section rate was 39.3% (403). The Robson groups with the highest contribution in the global caesarean section rate were group 5 of multiparous with previous caesarean section and cephalic presentation (17.3%), group 1 of nulliparous cephalic presentation, ≥37 weeks gestation, spontaneous labor (7, 5%) and group 10 of single pregnancy in a cephalic presentation, <37 weeks gestation, including women with 1 or more previous caesarean sections (4.9%). Conclusion: the use of the Robson classification model helps to identify patients in whom the number of caesarean sections can be reduced.