<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412018001000627</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i10.1462</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad y eficacia de la clasificación de Robson para disminuir la tasa de cesáreas]]></article-title>
<article-title xml:lang="en"><![CDATA[Utility and efficacy of Robson's classification to reduce the rate of cesareas.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Rodríguez]]></surname>
<given-names><![CDATA[Diana Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano-Díaz]]></surname>
<given-names><![CDATA[Leopoldo César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo-Aguirre]]></surname>
<given-names><![CDATA[Daniel Ely]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serna-Vela]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robles-Martínez]]></surname>
<given-names><![CDATA[María del Consuelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de la Mujer de Aguascalientes  ]]></institution>
<addr-line><![CDATA[ Aguascalientes]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de la Mujer de Aguascalientes  ]]></institution>
<addr-line><![CDATA[ Aguascalientes]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de la Mujer de Aguascalientes Instituto de Servicios de Salud de Aguascalientes Departamento de investigación]]></institution>
<addr-line><![CDATA[ Aguascalientes]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>86</volume>
<numero>10</numero>
<fpage>627</fpage>
<lpage>633</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018001000627&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018001000627&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018001000627&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Evaluar la eficacia y utilidad de la clasificación de Robson en la reducción de la práctica de cesáreas.  Materiales y métodos: Estudio observacional, descriptivo, retrospectivo y de corte transversal efectuado en pacientes de nivel socioeconómico medio y bajo atendidas entre enero y diciembre de 2016 en un hospital de segundo nivel. Para clasificar a las pacientes, según sus características obstétricas, se aplicó el modelo de Robson.  Resultados: Se estudiaron 374 pacientes embarazadas; de ellas 91 (24.3%) terminaron la gestación mediante cesárea. Los grupos de Robson con mayor contribución al porcentaje de cesáreas fueron: grupo 1 con 50.5%, grupo 2 con 29.8% y grupo 10 con 8.7%. El grupo 5 reportó que 62.7% de los embarazos terminaron mediante parto. El 89.8% de las pacientes ingresó con trabajo de parto espontáneo. Las principales indicaciones de cesárea fueron, en el grupo 1, trabajo de parto estacionario; en el grupo 2, cesárea iterativa y en el grupo 10, feto pretérmino.  Conclusiones: La aplicación del modelo de clasificación de Robson es útil y práctica para identificar los grupos de pacientes en los que es posible disminuir el porcentaje de cesáreas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: Evaluate the effectiveness and usefulness of the Robson classification to reduce the practice of cesarean sections.  Materials and methods:  Observational, descriptive, retrospective and cross section was made in patients of medium and low socioeconomic status attended between January and December 2016 in a second level hospital. For classify the patients, according to their obstetric characteristics, the model of Robson was applied.  Results: 374 pregnant patients were studied; in 91 (24.3%) the pregnancy ended by caesarean section. The Robson groups with the greatest percentage contribution of caesarean sections were: group 1 with 50.5%, group 2 with 29.8% and group 10 with 8.7%. Group 5 reported that 62.7% of pregnancies ended by delivery; 89.8% of the patients was admitted with spontaneous labor. The main Cesarean indications were, in group 1, stationary labor; at group 2, iterative caesarean section and group 10, preterm fetus.  Conclusions: The application of the Robson classification model is useful and practice to identify groups of patients in who it is possible to decrease the percentage of cesareans.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cesárea]]></kwd>
<kwd lng="es"><![CDATA[clasificación de Robson]]></kwd>
<kwd lng="es"><![CDATA[cesárea previa]]></kwd>
<kwd lng="es"><![CDATA[parto]]></kwd>
<kwd lng="en"><![CDATA[Caesarean]]></kwd>
<kwd lng="en"><![CDATA[Robson classification]]></kwd>
<kwd lng="en"><![CDATA[Previous caesarean section]]></kwd>
<kwd lng="en"><![CDATA[Delivery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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