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Updated: Sep 10, 2025

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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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ロブソン分類システムによるブラジルにおける帝王切開率の最近の傾向
Rômulo Cesar Rezzo Pires1, Maria do Carmo Leal2, Antônio Augusto Moura da Silva3
1Secretaria Municipal de Educação, São Luís, Brasil.
Cadernos de saude publica
|August 27, 2025
まとめ
帝王切開の割合はブラジルでは依然として高く,特にリスクが低いグループ (ロブソン級R1-R4) において高い. 介入は,不必要な処置を減らすために,分娩管理を改善し,陰道分娩を促進することに焦点を当てるべきです.
科学分野:
- 産婦人科
- 公衆衛生
- 医療サービス研究
背景:
- 帝王切開 (C-section) の割合は,ブラジルの公衆衛生に重大な懸念をもたらしています.
- ロブソン分類システムは 世界的に帝王切開率を評価し比較するための標準化された方法です
研究 の 目的:
- 2014年から2022年までのブラジルと地域の 帝王切開率のタイムトレンドを分析します
- 特定のロブソン分類グループ内の傾向を特定し,介入の分野を特定する.
主な方法:
- ブラジルの保健省からのデータを利用した生態系タイムシリーズ研究.
- 帝王切開率の割合の変化を推定するジョインポイントモデルを適用する.
- ロブソン分類システムに基づく分析
主要な成果:
- 研究期間中,ブラジルの整体帝王切開率は56. 4%でした.
- ロブソングループR2とR4では 帝王切開の割合が ブラジルとその地域全体で 大きく増加しました
- ロブソングループR1とR3では2014年から2016年にかけて 帝王切開率が大幅に減少した.
結論:
- ブラジルは特に低リスク産婦人科のグループで 帝王切開の過剰に直面しています
- 妊娠中絶の女性の出産管理を改善し 帝王切開後の陰道出産を促進する介入は 必要のない帝王切開を減らすために不可欠です
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