背景:在全球范围内,剖腹产率的惊人增长已成为一个有争议的话题。然而,这种趋势的原因尚不清楚。例如,仅在希腊,从1983年到1996年,利率增加了近50%。为了更好地理解这种现象的原因,我们需要仔细检查哪些女性群体接受剖腹产(CS).为了实现这一点,必须使用一个系统,使我们能够监测和比较剖腹产率。这样的分类系统应该容易被产科医生采用,助产士,和公共卫生服务。
方法:于2020年12月至2021年1月对有关医疗保健的电子数据库进行了综述搜索,以寻找描述理论或实践CS分类系统的系统综述。
结果:最常见的分类系统根据适应症分为三大类,紧迫性和基于母亲的特点。根据用户的说法,评级最高的分类系统通常是基于妇女的分类。特别是罗布森十组分类系统被认为是最有效的,以满足当前的本地和国际标准。罗布森分类系统因其健壮性而受到赞誉,简单,灵活性,和再现性。
结论:正确实施罗布森十组分类系统可以促进对提高CS率的主要群体的深入分析,并可用于审查和监测希腊和国外的交付实践。
BACKGROUND: Worldwide there is an alarming increase in the caesarean delivery rate which has become a controversial topic. However, the reasons for this tendency are not clear. For example, in Greece alone, rates increased by almost 50% from 1983 to 1996. In order to better understand the causes of this phenomenon, we need to examine closely what groups of women undergo caesarean section (CS). To achieve this, it is essential to use a system that will enable us to monitor and compare caesarean delivery rates. Such a classification system should be easily adopted by obstetricians, midwives, and public health services.
METHODS: A
review search of electronic databases concerning medical care was held from December 2020 to January 2021 in order to find systematic reviews which describe either theoretical or practical CS classification systems.
RESULTS: The most common classification systems fall into three main categories based on indication, urgency and maternal-based characteristics. According to users the highest rated classification system was women-based classifications in general. In particular the Robson Ten Group Classification System was considered to be the most valid to meet current local and international standards. The Robson classification system is praised for its robustness, simplicity, flexibility, and reproducibility.
CONCLUSIONS: The right implementation of the Robson Ten Group Classification System can facilitate an in-depth analysis of the main groups that increase CS rates and can be used to both
review and monitor delivery practices both in Greece and abroad.