Evolution du taux de césariennes dans une maternité universitaire suisse selon la classification de Robson [Evolution of cesarean section rates according to Robson classification in a swiss maternity hospital]

Détails

ID Serval
serval:BIB_D059BD6E3C1A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Evolution du taux de césariennes dans une maternité universitaire suisse selon la classification de Robson [Evolution of cesarean section rates according to Robson classification in a swiss maternity hospital]
Périodique
Revue medicale suisse
Auteur(s)
Haydar A., Vial Y., Baud D., Desseauve D.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
25/10/2017
Peer-reviewed
Oui
Volume
13
Numéro
580
Pages
1846-1851
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
We conducted a retrospective study was conducted in the Centre Hospitalier Universitaire Vaudois (CHUV) including all births between the 1st January 1997 and 31st December 2011 to analyze the cesarean section (CS) rate using the different groups of the Robson classification in a Swiss maternity hospital. The overall CS rate was 29 %, mainly related to group 5 (multiparous with previous CS) and group 2 (nulliparous women induced or who had CS before labor). The study also shows that induction of labor on maternal request in nulliparous at term (group 2a) increased significantly the risk of CS compared to induction of labor for medical reason (p<0.001). The Robson classification system appears as a simple tool for monitoring CS rates. The main strategies for reducing CS rates will be through better selection of women for VBAC (vaginal birth after caesarean) and limitation of induction of labor, especially in nulliparous women.
Mots-clé
Cesarean Section/statistics & numerical data, Female, Hospitals, Maternity/statistics & numerical data, Humans, Pregnancy, Retrospective Studies, Switzerland
Pubmed
Création de la notice
09/11/2017 19:06
Dernière modification de la notice
20/08/2019 15:50
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