Robson Ten Group Classification System Applied to Women with Severe Maternal Morbidity. Issue 1 (March 2015)

• Record Type: Journal Article
• Authors: Ferreira, Elton Carlos; Costa, Maria Laura; Cecatti, José Guilherme; Haddad, Samira M.; Parpinelli, Mary Angela; Robson, Michael S.; the Brazilian Network for Surveillance of Severe Maternal Morbidity Study Group
• Is Part Of: Birth. Volume 42:Issue 1(2015:Mar.)
• Page Start: 38
• Page End: 47
• Publication Date: 2015-03
• Subjects: Childbirth -- Periodicals; Obstetrics -- Periodicals; Newborn infants -- Care -- Periodicals; Natural childbirth -- Periodicals; 618.1
• DOI: 10.1111/birt.12155
• Languages: English
• ISSNs: 0730-7659

Abstract

<abstract abstract-type="main" id="birt12155-abs-0001"> <title>Abstract</title> <sec id="birt12155-sec-0001" sec-type="section"> <title>Objective</title> <p>To evaluate the distribution of women with severe maternal morbidity according to Robson Ten Group Classification System (RTGCS).</p> </sec> <sec id="birt12155-sec-0002" sec-type="section"> <title>Methods</title> <p>Secondary analysis of a multicenter cross‐sectional study in 27 obstetric units in Brazil, using RTGCS. Cases were classified into potentially life‐threatening condition or a maternal near miss or death, according to severity. Certain groups were subdivided for further analysis. Cesarean delivery (CD) rates were reported.</p> </sec> <sec id="birt12155-sec-0003" sec-type="section"> <title>Results</title> <p>Among 7, 247 women with severe maternal morbidity, 73.2 percent underwent CD. Group 10 (single, cephalic, preterm) was the most prevalent (33.9%). Groups mostly associated with a severe maternal outcome were: 7 (multiparous, breech), 9 (all abnormal lies, single, term), 8 (all multiple), and 10. Groups 1 (nulliparous, single, cephalic, term, spontaneous) and 3 (multiparous, single, cephalic, term, spontaneous) were associated with better maternal outcome. Group 3 had one severe maternal morbidity to 29 cases of potentially life‐threatening, but the ratio was 1:10 for women undergoing CD, indicating a worse outcome. Group 4a (multiparous, no previous CD, single, cephalic, term, induced labor) had a better maternal outcome than those delivered by CD before labor (group 4b). Hypertension was the most common condition of severity.</p> </sec> <sec id="birt12155-sec-0004" sec-type="section"> <title>Conclusions</title> <p>The RTGCS was useful to consider severe maternal morbidity, showing groups with higher CD rates and worse maternal outcomes.</p> </sec> </abstract>