<?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>S0300-90412025000900337</article-id>
<article-id pub-id-type="doi">10.24245/gom.v93i9.108</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis de la tasa de cesáreas mediante la clasificación de Robson]]></article-title>
<article-title xml:lang="en"><![CDATA[Analysis of caesarean section rate using the Robson classification system.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Modesto Castelán]]></surname>
<given-names><![CDATA[Diana Paulina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro Ramírez]]></surname>
<given-names><![CDATA[Estefanía Jazmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lobatón Paredes]]></surname>
<given-names><![CDATA[María Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayón Aguilar]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>9</numero>
<fpage>337</fpage>
<lpage>345</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412025000900337&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412025000900337&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412025000900337&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: Analizar la tasa de cesáreas en un hospital de segundo nivel con base en la clasificación de Robson para facilitar la comparación estandarizada en la institución, en la región, en el país y en el universo global; ello permitirá identificar los grupos poblacionales que más contribuyen a la tasa de cesáreas, lo que puede ser útil para generar estrategias clínicas y de gestión que se orienten a la optimización de recursos.  MATERIALES Y MÉTODOS: Estudio descriptivo, observacional, transversal y retrospectivo efectuado con base en la información asentada en los expedientes clínicos de pacientes embarazadas con indicación de cesárea, derechohabientes del Hospital General de Zona 20, Instituto Mexicano del Seguro Social, Puebla, Puebla. La recolección de los datos se llevó a cabo de marzo a agosto del 2023. El tamaño de muestra se determinó en 381 expedientes clínicos con muestreo de casos consecutivos. Se utilizaron estadísticas descriptivas y el análisis se procesó en el programa SPSS, versión 25.  RESULTADOS:  Se analizaron 386 expedientes de pacientes a quienes se indicó cesárea; se obtuvo una tasa general de 65 por cada 100 episodios obstétricos. El 38.9% eran pacientes multíparas con cesárea previa. La comorbilidad más frecuente fue la preeclampsia (22.5%), mientras que la indicación más común fue el oligohidramnios (21%). De acuerdo con la clasificación de Robson, el grupo 5 fue el más frecuente (29.3%), seguido por el grupo 2 (17.6%).  CONCLUSIÓN: La tasa de cesáreas en el hospital analizado fue superior a la de la recomendación de la OMS. El grupo 5 de la clasificación de Robson (una cesárea previa y un embarazo a término con feto único) fue el de mayor contribución.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: To analyze the cesarean section rate in a second-level hospital based on Robson&amp;apos;s classification, facilitating standardized comparisons within the institution, region, country, and globally. This will allow us to identify population groups that contribute most to the C-section rate. This information could be useful for generating clinical and management strategies aimed at optimizing resources.  METHODS AND MATERIALS: This descriptive, observational, cross-sectional, retrospective study was based on information recorded in the medical records of pregnant patients who received a cesarean section indication and were beneficiaries of the General Hospital of Zone 20 of the Mexican Social Security Institute in Puebla, Puebla. Data collection took place from March to August 2023. The sample size was determined to be 381 medical records using consecutive case sampling. Descriptive statistics were used, and the analysis was processed using SPSS version 25.  RESULTS: A total of 386 patient files indicating a cesarean section were analyzed, yielding an overall rate of 65 per 100 obstetric episodes. Of those, 38.9% were multiparous patients with a history of caesarean section. The most frequent comorbidity was preeclampsia (22.5%), and the most common indication was oligohydramnios (21%). According to Robson&amp;apos;s classification, group 5 was the most frequent (29.3%), followed by group 2 (17.6%).  CONCLUSION: The cesarean section rate at the analyzed hospital was higher than the WHO recommendation. Group 5 of Robson&amp;apos;s classification (a previous C-section and a full-term singleton pregnancy) contributed the most.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Clasificación de Robson]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="es"><![CDATA[hospital general]]></kwd>
<kwd lng="es"><![CDATA[recomendación de la OMS]]></kwd>
<kwd lng="en"><![CDATA[Robson Groups]]></kwd>
<kwd lng="en"><![CDATA[Classification]]></kwd>
<kwd lng="en"><![CDATA[Cesarean section]]></kwd>
<kwd lng="en"><![CDATA[General Hospital]]></kwd>
<kwd lng="en"><![CDATA[WHO recommendation]]></kwd>
</kwd-group>
</article-meta>
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