Tendencia de incompletitud de variables de Clasificación de Robson en el Sistema de Información de Nacidos Vivos en Paraná, 2014-2020

Falavina, Larissa Pereira; Fujimori, Elizabeth; Lentsck, Maicon Henrique

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Epidemiologia e Serviços de Saúde

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Português Español

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RESEACH NOTE • Epidemiol. Serv. Saúde 33 • 2024 • https://doi.org/10.1590/S2237-96222024V33E2023632.EN copiar

Tendencia de incompletitud de variables de Clasificación de Robson en el Sistema de Información de Nacidos Vivos en Paraná, 2014-2020

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Evaluar la incompletitud de las variables de la Clasificación de Robson en el Sistema de Información de Nacidos Vivos (SINASC) de Paraná y su tendencia, 2014-2020.

Métodos:

Estudio de series temporales que analizó seis variables, según macrorregiones de salud. La incompletitud (percentaje de campos “ignorados” y “en blanco”) se clasificó como: excelente (< 1,0%); buena (1,0-2,9%); regular (3,0-6,9%); mala (≥ 7,0%). Se utilizó la regresión de Prais-Winsten para estimar tendencia.

Resultados:

Se evaluaron 1.089.116 nacimientos. “Cesárea antes del inicio del trabajo de parto” se clasificó como mala en 2014 (39,4%) y 2015 (44,3%) en Paraná y en todas las macrorregiones, pero con tendencia decreciente de incompletitud. Las variables “edad gestacional”, “paridad” y “número de fetos” mostraron tendencia creciente.

Conclusión:

La mayoría de las variables evaluadas mostraron porcentajes bajos de incompletitud, con una tendencia decreciente, pero es necesario mejorar el cumplimiento de algunas variables que mostraron una tendencia creciente de incompletitud.

Palabras clave:
Cesárea, Sistemas de Información en Salud; Epidemiología Descriptiva, Estadísticas Vitales.

Characteristics used in the Robson Classification	Definition	Variable designations in SINASC
Onset of labor^a	Spontaneous, induced or cesarean section before the onset of labor.	STTRABPART = Was labor induced? STCESPARTO = did cesarean section occur before the onset of labor?
Fetal presentation	Position of the fetus in the womb: cephalic, breech or transverse.	TPAPRESENT = Type of fetal presentation.
Parity	Nulliparous: has never given birth. Multiparous: has given birth at least once.	QTDPARTNOR = Number of previous vaginal deliveries. QTDPARTCES = Number of previous caesarean sections.
Gestational age	Corresponds to the gestational age at birth.	SEMAGESTAC = Number of weeks of gestation.
Number of fetuses	Corresponds to the number of fetuses in that pregnancy: single, twins, triplets or more.	GRAVIDEZ = Type of pregnancy.

Macro-regions/Variables	2014	2015	2016	2017	2018	2019	2020
East
Cesarean section before the onset of labor.	47.6	53.6	8.2	8.5	5.9	7.2	10.0
Induced labor	11.8	11.7	7.1	8.3	6.7	5.8	6.9
Fetal presentation	3.0	2.3	1.4	1.3	0.6	0.6	1.0
Parity	0.8	0.6	0.8	0.2	0.3	0.3	0.5
Gestational age	1.5	1.2	1.0	1.0	0.5	0.6	0.8
Number of fetuses	0.1	0.1	0.2	0.1	0.1	0.1	0.1
West
Cesarean section before the onset of labor.	34.7	37.2	2.0	2.4	3.1	2.0	1.6
Induced labor	4.2	3.9	4.0	4.0	3.3	3.8	3.5
Fetal presentation	3.2	3.6	3.1	1.4	0.2	0.4	0.3
Parity	0.1	0.2	0.1	0.7	0.1	0.2	0.2
Gestational age	0.5	0.6	1.7	0.6	0.3	0.4	0.5
Number of fetuses	0.1	0.1	0.1	0.1	0.1	-	0.1
North
Cesarean section before the onset of labor	31.4	34.3	2.8	3.1	2.8	3.8	4.6
Induced labor	1.1	1.4	1.6	3.1	2.4	1.4	1.4
Fetal presentation	1.1	1.2	1.2	1.5	0.9	0.6	0.7
Parity	2.7	3.5	3.4	1.1	0.8	0.4	0.4
Gestational age	0.4	1.2	1.0	1.2	1.1	1.3	1.3
Number of fetuses	0.1	0.1	0.1	0.1	0.1	0.1	0.1
Northwest
Cesarean section before the onset of labor	24.9	32.8	4.7	2.3	1.5	1.8	1.4
Induced labor	0.2	0.7	0.6	0.9	0.5	0.5	0.6
Fetal presentation	0.6	0.8	0.7	0.3	0.5	0.4	0.4
Parity	0.1	0.1	-	0.1	2.7	0.3	1.1
Gestational age	0.2	0.4	0.3	0.4	0.4	0.5	0.5
Number of fetuses	-	0.1	0.1	0.1	0.1	0.1	0.1
Paraná state
Cesarean section before the onset of labor	39.4	44.3	5.6	5.5	4.2	4.7	6.1
Induced labor	7.0	6.9	4.6	5.4	4.4	3.8	4.3
Fetal presentation	2.3	2.1	1.6	1.2	0.6	0.5	0.7
Parity	0.9	0.9	1.0	0.4	0.7	0.3	0.5
Gestational age	0.9	0.9	1.0	0.9	0.5	0.7	0.8
Number of fetuses	0.1	0.1	0.1	0.1	0.1	0.1	0.1

Variables	Annual change^a	_95% CI ^b	Trend
Cesarean section before the onset of labor
East	-27.5	-44.3;-5.7	Decreasing
West	-41,7	-56.0;-22.7	Decreasing
North	-25.5	-42.8;-2.9	Decreasing
Northwest	-42.0	-55.5;-24.5	Decreasing
Paraná state	-32,3	-48.8;-10.8	Decreasing
Induced labor
East	-10.0	-13.6;-6.3	Decreasing
West	-2.3	-3.1;-1.5	Decreasing
North	-10.4	-14.0;44.7	Stable
Northwest	2.3	-7.7;13.5	Stable
Paraná state	-6.0	-6.7;-5.2	Decreasing
Fetal presentation
East	-19.0	-26.8;-10.4	Decreasing
West	-35.0	-45.7;-22.1	Decreasing
North	-1.3	-19.8;21.5	Satable
Northwest	-10.4	-14.3;-6.3	Decreasing
Paraná state	-20.4	-26.6;-13.7	Decreasing
Parity
East	-13.5	-22.3;-3.8	Decreasing
West	5.3	-15.4;31.1	Stable
North	-24.8	-40.6;-4.9	Decreasing
Northwest	63.0	7.7;146.7	Increasing
Paraná state	-8,8	-19.5;3.2	Stable
Gestational age
East	-1.9	-20.2;1.9	Decreasing
West	-5.9	-30.2;26.8	Stable
North	12.9	3.8;22.8	Increasing
Northwest	11.4	8.9;13.9	Increasing
Paraná state	-0.1	-5.9;6.0	Stable
Number of fetuses
East	2.8	-10.7;18.3	Stable
West	-5,4	-10.1;-0.5	Decreasing
North	8.0	-1.2;18.2	Stable
Northwest	3.1	1.7;4.5	Increasing
Paraná state	2.1	-4.9;9.6	Stable

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[1] Corresponding author:
Larissa Pereira Falavina.
Email:
larissafalavina@usp.br