按罗布森的十组分类系统分类的剖腹产频率:一个范围审查
Farah Jiandani1, Savita Somalwar1, Anuja Bhalerao1
1Department of Obstetrics and Gynaecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, IND.
Cureus
|July 31, 2023
概括
剖腹产率的上升令人担忧. 罗布森的十组分类系统 (TGCS) 确定了以前的CS和特定的患者群体对这一增长做出了重大贡献,突出了该系统的实用性.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 剖腹产 (CS) 的全球流行率正在迅速增加.
- 由于相关的并发症,CS应保留给有效的产科指示.
- 罗布森的十组分类系统 (TGCS) 是为了标准化记录和分析CS发生情况而开发的.
研究的目的:
- 在各种研究中审查CS率的流行率.
- 确定罗布森在CS交付中最参与的特定TGCS集团.
- 评估TGCS在监测CS趋势中的实用性.
主要方法:
- 按照系统审查的首选报告项目和范围审查的元分析扩展 (PRISMA-ScR) 准则进行了系统范围审查.
- 文学搜索使用关键词,如"剖腹产","罗布森的十组",和"分类系统".
- 根据预先定义的资格标准,包括21项研究.
主要成果:
- 第5组 (单个头部表现的妇女,没有分娩,有以前的CS) 是增加CS率的主要贡献者.
- 其他重要的贡献组包括第10组,第4组,第2组和第1组.
- 以前的CS成为推动CS费率上升的最常见因素.
结论:
- 罗布森的TGCS是记录和比较CS率的基本和简单工具.
- 通过TGCS识别关键贡献群体,可以进行有针对性的干预,以管理CS的流行.
- 这些发现强调了使用标准化分类系统分析CS数据的重要性.
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