OBSTETRIC AUDIT BASED ON ROBSON TEN-GROUP CLASSIFICATION SYSTEM
Anatoly E. Miroshnikov , N. A Zharkin
V.F.Snegirev Archives of Obstetrics and Gynecology ›› 2018, Vol. 5 ›› Issue (1) : 45 -48.
OBSTETRIC AUDIT BASED ON ROBSON TEN-GROUP CLASSIFICATION SYSTEM
The problem of the increase in the frequency of Cesarean section delivery has not been resolved yet. Firstly, a large variation in the initial state of puerpera, secondly, a wide variety of indications to the operation fail to allow revealing main determinants. In order to develop and implement effective measures to reduce the rate of the abdominal delivery, an understandable, logical classification of patients is necessary. The World Health Organization recommends the use of Robson Ten-Group Classification System. This study executed with the use of the Robson scale reveals the contingent of patients in whom the decline in the frequency of abdominal deliveries is possible. The authors propose a set of measures aimed at reducing the rate of Cesarean section in institutions of the second level.
reduction of the rate of Cesarean sections / Robson Ten-Group Classification System / abdominal delivery
| [1] |
Радзинский В.Е. Акушерская агрессия. М.: Status Praesens; 2011 |
| [2] |
Patterns of maternity care in English NHS trusts /2013/14/March 2016 |
| [3] |
Robson M.S. Classification of caesarean sections. Fetal Maternal Med. Rev. 2001; 12(1): 23-39. |
| [4] |
Robson M. The Ten Group Classification System (TGCS) - a common starting point for more detailed analysis. Br. J. Obstet. Ginacol. 2015; 122(5): 701. |
| [5] |
Torloni M.R., Betran A.P., Souza J.P., Widmer M., Allen T., Gulmezoglu M., et al. Classification for caesarean section: a systematic review. PLoS ONE. 2011; 6(1): e14566. doi: 10.1371/journal.pone.0014566. |
| [6] |
Betran A.P., Vindevoghel N., Souza J.P., Gulmezoglu A.M., Torloni M.R. A systematic review of the Robson classification for caesarean section: what works, doesn’t work and how to improve it. PLoS ONE. 2014; 9(6): e 97769. |
| [7] |
Орлова В.С., Калашникова И.В. Абдоминальное родоразрешение как медико-социальная проблема современного акушерства. Журнал акушерства и женских болезней. 2013; 62 (4): 6-13. |
| [8] |
Радзинский В.Е., Князев С.А. Сократить долю кесаревых сечений. Настоятельные рекомендации ВОЗ о снижении доли кесаревых сечений. Status Praesens. Гинекология, акушерство, бесплодный брак. 2015; 3: 10-21. |
| [9] |
Методическое письмо МЗ РФ № 15-4/10/2-8757 от 20.11.2014 г. «Совершенствование трехуровневой системы оказания медицинской помощи женщинам в период беременности, родов и в послеродовом периоде». http://docs.cntd.ru/document/420264566 |
Eco-Vector
/
| 〈 |
|
〉 |
PDF
