Taxas de cesariana no Brasil de 2014 a 2016: Análise transversal utilizando a classificação de Robson

Roxana Knobel

Department of Gynecology and Obstetrics, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil

Thiago Jose Pinheiro Lopes

Department of Gynecology and Obstetrics, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil

Mariane de Oliveira Menezes

Postgraduate Program in Tocogynecology, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil

Carla Betina Andreucci

Department of Medicine, Universidade Federal de São Carlos, São Carlos, SP, Brazil

Juliana Toledo Gieburowski

Department of Gynecology and Obstetrics, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil

Maira Libertad Soligo Takemoto

Department of Gynecology and Obstetrics, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil

Address for correspondence Maira Libertad Soligo Takemoto, MSc, PhD, Av. Prof. Mário Rubens Guimarães Montenegro, s/n, UNESP, Campus Botucatu, Botucatu, SP, 18618-687, Brazil (e-mail: maira.takemoto@anova.org.br).

Contributors

Roxana Knobel worked on the conceptualization and design of the study, on data collection and analysis, drafted the manuscript, critically reviewed and revised the manuscript, and approved the final version to be submitted. Thiago Jose Pinheiro Lopes worked on the conceptualization and design of the study, on data collection and analysis, drafted the manuscript, critically reviewed and revised the manuscript, and approved the final version to be submitted. Mariane de Oliveira Menezes worked on analysis and interpretation of data, as well as writing of the article, critical review of the intellectual content, and final approval of the version to be published. Carla Betina Andreucci worked on analysis and interpretation of data, as well as writing of the article, critical review of the intellectual content, and final approval of the version to be published. Juliana Toledo Gieburowski worked on analysis and interpretation of data, as well as writing of the article, critical review of the intellectual content, and final approval of the version to be published. Maira Libertad Soligo Takemoto worked on analysis and interpretation of data, aswell aswriting of the article, critical review of the intellectual content, and final approval of the version to be published. All authors havemade substantive contributions to the present manuscript, and all have reviewed the final paper prior to its submission.

Robson classification	Cesarean section rates (%)
1. Nulliparous, single cephalic, ≥ 37 weeks, in spontaneous labor	46.4
2. Nulliparous, single cephalic, ≥ 37 weeks, induced or CS before labor	69.0
3. Multiparous (excluding previous CS), single cephalic, ≥ 37 weeks, in spontaneous labor	20.0
4. Multiparous (excluding previous CS), single cephalic, ≥ 37 weeks, induced or CS before labor	44.9
5. Previous CS, single cephalic, ≥ 37 weeks	85.7
6. All nulliparous breeches	89.5
7. All multiparous breeches (including previous CS)	85.2
8. All multiple pregnancies (including previous CS)	82.8
9. All women with a single pregnancy in transverse or oblique lie (including those with previous CS)	97.0
10. All single cephalic, < 37 weeks (including previous CS)	50.3
11. Births not classified in any groups due to lack of information	59.1
Total	56.0

Robson group	North	Northeast	Midwest	Southeast	South
1	42.5^†	45.8	53.8*	46.9	45.2
2	68.3	63.6^†	73.4*	69.1	72.5
3	17.4	21.9	24.0*	18.9	16.9^†
4	46.9	45.3	50.4*	43.0^†	46.7
5	80.5^†	85.6	87.5*	86.4	85.7
6	89.6	83.9^†	90.5	91.1	93.2*
7	86.0	79.2^†	87.6	86.9	89.3*
8	78.3	75.4^†	87.2	85.8	86.3*
9	98.0*	97.1	97.8	96.4^†	96.9
10	38.5^†	43.3	53.3	56.2	57.3*
11	50.9	50.5^†	76.7	66.9	71.8*
Total	46.2	50.2	62.1*	59.7	61.2

Robson group	North	Northeast	Midwest	Southeast	South	Brazil
1	21.3	22.0	18.3	14.3	13.4	17.4
2	6.7	10.4	12.6	20.3	21.7	15.6
3	27.2	23.5	17.5	13.6	13.2	18.1
4	5.4	7.3	7.7	11.9	12.0	9.6
5	16.3	16.2	22.7	22.4	22.8	20.1
6	1.1	1.3	1.6	1.5	1.8	1.4
7	1.8	1.7	2.4	1.7	2.1	1.9
8	1.5	1.8	2.0	2.3	2.2	2.0
9	0.3	0.3	0.2	0.2	0.3	0.2
10	9.9	9.4	8.2	8.8	8.5	9.0
11	8.5	6.2	6.7	3.1	1.9	4.6

Robson group	North	Northeast	Midwest	Southeast	South	Brazil
1	19.6	20.1	15.9	11.2	9.9	14.4
2	10.0	13.2	14.9	23.4	25.7	19.2
3	10.3	10.2	6.8	4.3	3.7	6.4
4	5.5	6.6	6.2	8.5	9.2	7.7
5	28.5	27.5	32.0	32.5	31.9	30.8
6	2.1	2.1	2.4	2.2	2.8	2.3
7	3.4	2.7	3.4	2.5	3.0	2.8
8	2.5	2.7	2.9	3.3	3.1	3.0
9	0.7	0.5	0.3	0.3	0.5	0.4
10	8.2	8.1	7.0	8.2	8.0	8.1
11	9.4	6.2	8.2	3.4	2.2	4.9

Brasil