A aplicação da Classificação de Robson nas maternidades brasileiras como ferramenta para redução das taxas de cesariana: uma revisão de literatura

Abstract

Introduction: The Robson’s Classification, proposed by Michael Robson in 2001, is translated as na auxiliary instrument in reducing cesarean rates. It consists of grouping pregnant women into 10 groups according to their obstetric characteristics. Indicated by the Ministry of Health in 2014 as a standard tool to evaluate, monitor and compare cesarean rates within and between institutions. Simple to implement, classifies each pregnant woman, including her into one of Robson’s Ten Groups. Objective: To analyze in the literature the use of Robson’s Classification in Brazilian maternity hospitals as a tool to reduce cesarean surgeries. Metodology: This is a qualitative research of the integrative literature review type of studies published between 2016 and 2021 in Portuguese in the databases: SciELO; LILACS, BDENF and Secretaria Municipal de Saúde – SP through the Virtual Health Library. Results: The final sample consisted of 10 articles. The data were organized into three categories, which are: I- The importance of implementing Robson’s Classification in Brazilian intitutions; II- The paradox in the highest rates of cesarean in the private system; III- The reduction in cesarean rates in Robson’s group 5 from the prevention of the procedure in groups 1 and 2. Conclusion: The low use and knowledge about Robson’s Classification is glimpsed, although it is a simple tool to apply. It’s importante to disseminate and encourage research on this topic so that there can be greater imlementation.