干旱区生态环境知识资源中心(Arid): A step towards better audit: The Robson Ten Group classification system for outcomes other than cesarean section

Arid

DOI	10.1111/aogs.14350
	A step towards better audit: The Robson Ten Group classification system for outcomes other than cesarean section
	Savchenko, Julia; Ladfors, Lars; Hjertberg, Linda; Hildebrand, Eric; Wendel, Sophia Brismar
通讯作者	Savchenko, J
来源期刊	ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
ISSN	0001-6349
EISSN	1600-0412
出版年	2022
卷号	101 期号:7 页码:827-835
英文摘要	Introduction The Robson Ten Group Classification System is widely used for the audit of cesarean section (CS) rates. However, CS rate alone is a poor quality indicator and should be balanced with other obstetric endpoints. The aim of this study was to evaluate whether Swedish national data on obstetric outcomes other than CS, stratified by the Robson classification, could be analyzed in a useful way. Material and methods All births in Sweden from 2017 through 2020 recorded in the nationwide Swedish Pregnancy Register were categorized using the Robson classification with subdivision of some groups. Five outcomes were explored: CS, operative vaginal delivery, postpartum hemorrhage, obstetric anal sphincter injury (OASIS) and Apgar score The largest Robson groups were nulliparous and multiparous women with single-term cephalic pregnancies, unscarred uterus and spontaneous labor. Intrapartum CS rates were highest for multiple pregnancies, women with induced labor after previous CS, and nulliparous women with induced labor. Nulliparous women and multiparous women with a previous CS with attempted vaginal birth had the highest operative vaginal delivery and OASIS rates. The postpartum hemorrhage rate was highest for multiple pregnancies and transverse lie, followed by prelabor CS in nulliparous and multiparous women with single-term cephalic pregnancies and unscarred uterus. The highest rates of Apgar score <7 at 5 minute were observed in preterm deliveries, multiple pregnancies, transverse lie and breech presentation. The largest contribution to the total CS rate was made by women with previous CS delivered by prelabor CS, and nulliparous women with induced or spontaneous labor. The largest contribution to all other outcomes was made by nulliparous women with spontaneous or induced labor and, notably, multiparous women with spontaneous labor and unscarred uterus. Conclusions The Robson classification provides a useful framework for analyzing CS rates along with rates of operative vaginal delivery, OASIS, postpartum hemorrhage and low Apgar score. Parallel interpretation of several outcomes allows a systematic and multidimensional audit, helpful for families and healthcare professionals, and can be used for comparisons, assessment of trends and subpopulations.
英文关键词	audit childbirth care labor obstetric delivery perinatal outcomes quality indicators
类型	Article
语种	英语
开放获取类型	hybrid, Green Published
收录类别	SCI-E
WOS记录号	WOS:000769336300001
WOS关键词	EXTERNAL VALIDITY ; DELIVERY ; RISK ; REDUCE ; TRIAL ; RATES ; WOMEN ; LABOR
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/391531
推荐引用方式 GB/T 7714	Savchenko, Julia,Ladfors, Lars,Hjertberg, Linda,et al. A step towards better audit: The Robson Ten Group classification system for outcomes other than cesarean section[J],2022,101(7):827-835.
APA	Savchenko, Julia,Ladfors, Lars,Hjertberg, Linda,Hildebrand, Eric,&Wendel, Sophia Brismar.(2022).A step towards better audit: The Robson Ten Group classification system for outcomes other than cesarean section.ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA,101(7),827-835.
MLA	Savchenko, Julia,et al."A step towards better audit: The Robson Ten Group classification system for outcomes other than cesarean section".ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA 101.7(2022):827-835.