Tendências e diferenciais na ocorrência de cesarianas no Estado de Santa Catarina a partir dos Grupos de Robson: análise de 581.269 nascimentos

Pâmela Roberta Rocha da Silva; Karla Pereira Machado; Tatiane Nogueira  Gonzalez; Marcos Freitas Cordeiro; Adriana Fiala Kramer  Machado; Bruna Natália  Rausch; Luana Patricia Marmitt

doi:10.23925/1984-4840.2022v24i1/4a8

Authors

Pâmela Roberta Rocha da Silva Universidade do Oeste de Santa Catarina
Karla Pereira Machado Universidade Federal de Pelotas
Tatiane Nogueira Gonzalez Universidade Federal do Rio Grande https://orcid.org/0000-0002-9350-6152
Marcos Freitas Cordeiro Universidade do Oeste de Santa Catarina https://orcid.org/0000-0002-2100-1614
Adriana Fiala Kramer Machado Universidade Federal de Pelotas https://orcid.org/0000-0002-6800-1064
Bruna Natália Rausch Universidade do Oeste de Santa Catarina
Luana Patricia Marmitt Universidade do Oeste de Santa Catarina https://orcid.org/0000-0003-0526-7954

DOI:

https://doi.org/10.23925/1984-4840.2022v24i1/4a8

Keywords:

cesarean section, pregnancy, parturition, maternal and child health

Abstract

Objective: To study the occurrence and identify trends in the distribution of cesarean sections in the state of Santa Catarina according to Robson's classification groups between 2014 and 2019. Methods: A cross-sectional study that included all microdata records of deliveries and births from the Live Birth Information System of the Brazilian Ministry of Health during the period. Temporal trend analyses of cesarean section occurrence were performed for each of the 10 Robson groups, including their respective rates and contributions. Additionally, their distribution among the seven health macro-regions of the state was analyzed. Results: The overall cesarean section rate was 58.3% (95% CI: 58.1; 58.4), ranging from 60.5% in 2014 to 57.4% in 2019. The macro-region of Greater West stood out with the highest overall cesarean section rate (67.9%). Group 5 (women with a previous cesarean section) and group 2 (nulliparous women with elective cesarean section) had the highest individual rates and contributions to the overall cesarean section rate. While group 5 showed an upward trend, group 2 reduced its contribution to the overall cesarean section rate during the period. Conclusion: A slight reduction in the occurrence of cesarean sections was observed over the years. Women in groups 2 and 5 represent the main target groups for interventions aimed at reducing unnecessary cesarean sections in the state.

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