Por favor, use este identificador para citar o enlazar este ítem: https://hdl.handle.net/20.500.12008/54508
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dc.contributor.author Autor Colomar, Mercedes-
dc.contributor.author Autor Colistro, Valentina-
dc.contributor.author Autor Sosa, Claudio-
dc.contributor.author Autor de Francisco, Luis Andrés-
dc.contributor.author Autor Betrán, Ana Pilar-
dc.contributor.author Autor Serruya, Suzanne-
dc.contributor.author Autor De Mucio, Bremen-
dc.contributor.filiacion Filiación Colomar Mercedes, Unidad de Investigación Clínica y Epidemiológica Montevideo (Uruguay)-
dc.contributor.filiacion Filiación Colistro Valentina, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Métodos Cuantitativos-
dc.contributor.filiacion Filiación Sosa Claudio, Hospital Pereira Rossell (Uruguay). Departamento de Obstetricia y Ginecología-
dc.contributor.filiacion Filiación de Francisco Luis Andrés, World Health Organization (E.E:U.U.). Pan American Health Organization, Family, Health Promotion and Life Course-
dc.contributor.filiacion Filiación Betrán Ana Pilar, World Health Organization (Suiza). Department of Sexual and Reproductive Health and Research-
dc.contributor.filiacion Filiación Serruya Suzanne, World Health Organization (Uruguay). Women and Reproductive Health, Latin American Center for Perinatology-
dc.contributor.filiacion Filiación De Mucio Bremen, World Health Organization (Uruguay). Women and Reproductive Health, Latin American Center for Perinatology-
dc.coverage.spatial Cobertura geográfica URUGUAYes
dc.coverage.temporal Cobertura temporal 2008 - 2018es
dc.date.accessioned Fecha ingreso 2026-04-21T14:54:14Z-
dc.date.available Fecha disponible 2026-04-21T14:54:14Z-
dc.date.issued Año de publicación 2022-
dc.description.abstract Resumen Background The use of caesarean section has steadily increased, with Latin America being the region with the highest rates. Multiple factors account for that increase and the Robson classification is appropriate to compare determinants at the clinical level for caesarean section rates over time. The purpose of this study is to describe the evolution of caesarean section rates by Robson groups in Uruguay from 2008 to 2018 using a country level database. Methods We included the records of all women giving birth in Uruguay (pregnancies ≥22 weeks and weights ≥500 g) with valid data in the mode of childbirth recorded in the Perinatal Information System database between 2008 and 2018. Caesarean section rates were calculated by Robson groups for each of the years included, disaggregated by care sector (public/private) and by geographical area (Capital City/Non-Capital), with time trends and their significance analyzed using linear regression models. Results Of the total 485,263 births included in this research, the overall caesarean section rate was 43,1%. In 2018, among the groups at lower risk of caesarean section (1 to 4), the highest rates were seen in women in group 2B (98,8%), followed by those in group 4B (97,9%). A significant increase in the number of caesarean sections was seen in groups 2B (97,9 to 98,8%), 3 (8,36 to 11,1%) and 4 (A (22,7 to 26,9%) and B (95,4 to 97,9%) Significant growth was also observed in groups 5 (74,3 to 78,1%), 8 (90,6 to 95,5%), and 10 (39,1 to 46,7%). The private sector had higher rates of caesarean section for all groups throughout the period, except for women in group 9. The private sector in Montevideo presented the highest rates in the groups with the lowest risk of caesarean section (1, 2A, 3 and 4A), followed by the private sector outside of the capital. Conclusion Uruguay is no exception to the increasing caesarean section trend, even in groups of women who have lower risk of requiring caesarean section. The implementation of interventions aimed at reducing caesarean section in the groups with lower obstetric risk in Uruguay is warranted.es
dc.format.mimetype Formato application/pdfes
dc.identifier.citation Citación Colomar M, Colistro V, Sosa C y otros. Cesarean section in Uruguay from 2008 to 2018: country analysis based on the Robson classification. An observational study. BMC pregnancy and childbirth [en línea]. 2022;22(1). 10 p.es
dc.identifier.doi DOI 10.1186/s12884-022-04792-y-
dc.identifier.eissn e-ISSN 1471-2393-
dc.identifier.uri URI https://hdl.handle.net/20.500.12008/54508-
dc.language.iso Idioma enes
dc.publisher Editorial BioMed Centrales
dc.relation.ispartof EN BMC pregnancy and childbirth. 2022;22(1)es
dc.rights Derechos Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)es
dc.rights.licence Licencia Licencia Creative Commons Atribución (CC - By 4.0)es
dc.subject Palabras clave Caesarean sectiones
dc.subject Palabras clave Robson classificationes
dc.subject.other Descriptores CESÁREAes
dc.subject.other Descriptores BASES DE DATOS ESTADÍSTICOSes
dc.subject.other Descriptores FACTORES DE RIESGOes
dc.subject.other Descriptores ESTADÍSTICAS DE SALUDes
dc.title Título Cesarean section in Uruguay from 2008 to 2018: country analysis based on the Robson classification. An observational studyes
dc.type Tipo de documento Artículoes
FicherosDescripciónTamañoFormato
Cesarean section in Uruguay from 2008 to 2018.pdf Cesarean section in Uruguay from 2008 to 2018 1.37 MB Adobe PDF