USO DA CLASSIFICAÇÃO DE ROBSON NA ADMISSÃO DE GESTANTES PARA PARTO NAS MATERNIDADES E CASAS DE PARTO PÚBLICAS DO DISTRITO FEDERAL, BRASÍLIA, BRASIL

Abstract

The high rate of cesarean section, in opposition to the World Health Organization recommendations, remains a global challenge in maternal and child health. The Robson Classification, proposed in 2001 and widely adopted, emerges as a standardized tool to monitor and compare cesarean section rates in different contexts, allowing the assessment of the impact of management adjustments. Despite the various advantages of this classification, it does not take into account other maternal or fetal factors that significantly influence cesarean section rates, such as high-risk pregnancies and fetal alterations. As a conclusion presented to the Stricto Sensu Graduate Program in Health Sciences at the School of Health Sciences, as a partial requirement for obtaining the Master's Degree in Health Sciences, a cross-sectional observational study was conducted with secondary data obtained from medical records of pregnant women undergoing delivery in the context of a high-risk maternity hospital in the Federal District. The objective was to evaluate the Robson Classification in the context of a high-risk public maternity hospital in the Federal District in Brasília, Brazil, analyzing pregnant women who gave birth at the facility according to the Robson Classification, stratifying women according to low or high-risk situations. Based on the study results, the Protocol for the use of the Robson Classification in the admission of pregnant women for delivery in public maternity hospitals and birthing centers of the Federal District in Brasília, Brazil, is presented. Search strategies for the development of this protocol included database searches for scientific articles in journals indexed in databases such as PubMed, Lilacs, Medline, Scielo, legislation, and other protocols that address the monitoring of women during childbirth. It is expected that the systematic use of the Robson Classification in the maternity hospitals and birthing centers of SES-DF will serve as a tool to monitor cesarean section rates in the region's population, allowing for the evaluation and improvement of the quality of obstetric care, based on the assessment of the impact of management changes that may contribute to good health practices in the Federal District.