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Mode of delivery according to Robson classification and perinatal outcomes in restricted and small for gestational age fetuses
Mazzola, Jaqueline Brandão; Zamarian, Ana Cristina Perez; Caetano, Ana Carolina Rabachini; Drumond, Luiza Grosso Silva; Marçal, Vivian Macedo Gomes; Botelho, Amanda; Araujo Júnior, Edward; Sun, Sue Yasaki; Nardozza, Luciano Marcondes Machado.
Afiliación
  • Mazzola, Jaqueline Brandão; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
  • Zamarian, Ana Cristina Perez; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
  • Caetano, Ana Carolina Rabachini; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
  • Drumond, Luiza Grosso Silva; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
  • Marçal, Vivian Macedo Gomes; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
  • Botelho, Amanda; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
  • Araujo Júnior, Edward; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
  • Sun, Sue Yasaki; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
  • Nardozza, Luciano Marcondes Machado; Universidade Federal de São Paulo. Escola Paulista de Medicina. Department of Obstetrics. São Paulo. BR
Rev. bras. ginecol. obstet ; 46: e, 2024. tab
Article en En | LILACS-Express | LILACS | ID: biblio-1569725
Biblioteca responsable: BR1.1
ABSTRACT
Abstract Objective To evaluate the mode of delivery according to Robson classification (RC) and the perinatal outcomes in fetal growth restriction (FGR) and small for gestational age (SGA) fetuses. Methods Retrospective cohort study by analyzing medical records of singleton pregnancies from two consecutive years (2018 and 2019). FGR was defined according to Delphi Consensus. The Robson groups were divided into two intervals (1-5.1 and 5.2-10). Results Total of 852 cases were included FGR (n = 85), SGA (n = 20) and control (n=747). FGR showed higher percentages of newborns < 1,500 grams (p<0.001) and higher overall cesarean section (CS) rates (p<0.001). FGR had the highest rates of neonatal resuscitation and neonatal intensive care unit admission (p<0.001). SGA and control presented higher percentage of patients classified in 1 - 5.1 RC groups, while FGR had higher percentage in 5.2 - 10 RC groups (p<0.001). FGR, SGA and control did not differ in the mode of delivery in the 1-5.1 RC groups as all groups showed a higher percentage of vaginal deliveries (p=0.476). Conclusion Fetuses with FGR had higher CS rates and worse perinatal outcomes than SGA and control fetuses. Most FGR fetuses were delivered by cesarean section and were allocated in 5.2 to 10 RC groups, while most SGA and control fetuses were allocated in 1 to 5.1 RC groups. Vaginal delivery occurred in nearly 60% of FGR allocated in 1-5.1 RC groups without a significant increase in perinatal morbidity. Therefore, the vaginal route should be considered in FGR fetuses.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Rev. bras. ginecol. obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Rev. bras. ginecol. obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil