Análise crítica das taxas de cesarianas em um serviço de atenção terciária

• Ano de defesa: 2021
• Autor(a) principal: Carvalho, Lindalva Coelho de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Medicina; Mestrado Profissional Saúde da Família en Rede Nacional (PROFSAÚDE); UFPB
• Palavras-chave em Português: Classificação de Robson; Taxa de cesariana; Saúde materna; CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/21073

Cesarean delivery (CD) has been growing rapidly, however, there is no scientific evidence that this increase has contributed to better outcomes. The World Health Organization (WHO) recommends the Cesarean Section Rate (CSR) should vary from 10 to 15%. In 2014, there was an incentive to use the Robson Classification (RC) to guide CSR assessments in countries. Many factors influence decision making during peripartum care on the route of birth. The contemporary discussion revolves around showing characteristics linked to the indication of surgical delivery and the causes related to the excessive choice of CD. The CD can save lives for both women and newborns. In this sense, this dissertation discusses CSR, in the national and local context, as well as the use of the RC for the stratification of women who are submitted to obstetric care in maternal and child care units. It produced: i) a Systematic Literature Review on CSR and the implementation of RC in Brazil; ii) observational analytical cross-sectional study on CSR and women's stratification by RC in a university maternity hospital; iii) an Epidemiological Report of the CSR of the studied hospital service. Without the intention of ending the discussion, it is imperative to question the care models, in order to build more dynamic, participatory and multidisciplinary panoramas. Using the Robson Classification continuously proved to be a good intervention in the sense of monitoring the actions of maternal and child care units. Through this analysis, it is possible to act more quickly, building intervention policies and new clinical protocols to offer an increasingly better assistance to pregnant women. Despite collaborating in the evaluation of services, it was perceived as a limitation of the applicability of RC the number of groups and the absence of characters, within the classification, that differentiate the most clinically prevalent groups of comorbidities and, therefore, are more likely to the CD.