<?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>S0300-90412019001000626</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i10.3301</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis de la cesárea según la clasificación de Robson en un hospital público de Perú]]></article-title>
<article-title xml:lang="en"><![CDATA[Analysis of cesarean sections according to Robson´s classification in a public hospital in Peru]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ticona-Huanco]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ticona-Rendón]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huanco-Apaza]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Montenegro]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Zeballos]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Privada de Tacna Perú ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Jorge Basadre Grohmann  ]]></institution>
<addr-line><![CDATA[Tacna ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Latinoamericana CIMA  ]]></institution>
<addr-line><![CDATA[Tacna ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Hipólito Unanue Departamento de Gineco Obstetricia ]]></institution>
<addr-line><![CDATA[Tacna ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional Jorge Basadre Grohmann  ]]></institution>
<addr-line><![CDATA[Tacna ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>10</numero>
<fpage>626</fpage>
<lpage>636</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019001000626&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019001000626&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019001000626&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  OBJETIVO: Analizar la cesárea según la clasificación de Robson en un hospital público peruano.  MATERIALES Y MÉTODOS:  Estudio transversal, analítico, de partos atendidos en el Hospital Hipólito Unanue de Tacna, clasificados según Robson. En dos periodos (2000-2009 y 2010-2018) se compararon las tasas de cesárea, su contribución absoluta y relativa, indicación y riesgos maternos y perinatales. Para el análisis estadístico se utilizó c2 y se consideró significación estadística al valor de p &lt; 0.05 y razón de momios, con IC95%, con riesgo significativo cuando el IC fue mayor de 1 y p &lt; 0.05. Los datos se obtuvieron del Sistema Informático Perinatal y se procesaron en el programa SPSS v26.  RESULTADOS: De 64,375 partos analizados, la tasa global de cesárea fue de 38.6%, con incremento de 23.9% en 2000 a 55.8% en 2018, con predominio de los grupos 1, 3 y 5, que son los de mayor contribución absoluta y relativa. Las principales indicaciones de la cesárea fueron: desproporción céfalo-pélvica (grupos 1 a 4), sufrimiento fetal, cesárea anterior y preeclampsia. Los grupos 1 (OR = 2.63; IC95%: 1.28-5.39; p &lt; 0.05) y 3 (OR = 3.06; IC95%: 1.62-5.79; p &lt; 0.05) tuvieron significativamente mayor riesgo de muerte neonatal en comparación con los de parto.  CONCLUSIONES: La tasa de cesárea se incrementó en los últimos 19 años, principalmente en los grupos 1, 3 y 5 según la clasificación de Robson. Los grupos 1 y 3 tuvieron mayor riesgo de mortalidad neonatal que el de los nacidos por parto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  OBJECTIVE: Analyze cesarean sections according to Robson&amp;apos;s classification in peruvian public hospital.  MATERIALS AND METHODS:  Analytical cross-sectional study in 64375 deliveries attended at the Hipolito Unanue hospital in Tacna according to Robson´s classification. Cesarean rates, absolute and relative contribution, cesarean sections´ indications and maternal perinatal risks were compared in two periods (2000-2009, 2010-2018). Chi2 was used with statistical significance when p &lt;0.05 and Odds Ratio (OR) with 95% Confidence Interval (95% CI) with significant risk when IC&gt; 1 and p &lt;0.05. The data was obtained from the Perinatal Informatic System and processed in SPSS version 25.  RESULTS:  The overall cesarean section rate was 38.6% with an increase of 23.9% in 2000 to 55.8% in 2018; a predominance of groups 1, 3 and 5 who had greater absolute and relative contribution. The main indications were cephalopelvic disproportion, fetal distress, previous caesarean section and preeclampsia. There was a significantly higher risk of neonatal death in groups 1 (OR = 2.6, 95% IC: 1.28-5.39, p &lt;0.05) and 3 (OR = 3.1, 95% IC: 1.62-5, 79; p &lt;0.05) compared with vaginal deliveries.  CONCLUSIONS: The cesarean rate increased in the last 19 years, mainly in groups 1, 3 and 5 according to Robson&amp;apos;s classification; Group 1 and 3 presented a greater risk of neonatal mortality compared with vaginal deliveries.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cesárea]]></kwd>
<kwd lng="es"><![CDATA[parto]]></kwd>
<kwd lng="es"><![CDATA[desproporción cefalopélvica]]></kwd>
<kwd lng="es"><![CDATA[recién nacido]]></kwd>
<kwd lng="es"><![CDATA[mortalidad neonatal]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia]]></kwd>
<kwd lng="es"><![CDATA[clasificación de Robson]]></kwd>
<kwd lng="en"><![CDATA[Cesarean Section]]></kwd>
<kwd lng="en"><![CDATA[Delivery, Obstetric]]></kwd>
<kwd lng="en"><![CDATA[Cephalopelvic Disproportion]]></kwd>
<kwd lng="en"><![CDATA[Fetal Distress, Perinatal Death, Pre-Eclampsia]]></kwd>
<kwd lng="en"><![CDATA[Robson´s Classification]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Betrán]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The increasing trend in caesarean section rates: Global, Regional and National Estimates 1990-2014]]></article-title>
<source><![CDATA[Plos One]]></source>
<year>2016</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<collab>World Health Organization</collab>
<article-title xml:lang=""><![CDATA[Appropriate technology for birth]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>1985</year>
<volume>326</volume>
<numero>8452</numero>
<issue>8452</issue>
<page-range>436-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ye]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Searching for the optimal rate of medically necessary cesarean delivery]]></article-title>
<source><![CDATA[Birth]]></source>
<year>2014</year>
<volume>41</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>237-44</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cavallaro]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Obstetrician´s opinions of the optimal caesarean rate: A global survey]]></article-title>
<source><![CDATA[Plos One]]></source>
<year>2016</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Betrán]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies]]></article-title>
<source><![CDATA[Reprod Health]]></source>
<year>2015</year>
<volume>12</volume>
<page-range>57</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Betrán]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Torloni]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gülmezoglu]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[WHO statement on caesarean section rates]]></article-title>
<source><![CDATA[BJOG]]></source>
<year>2016</year>
<volume>123</volume>
<page-range>667-70</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ye]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association between rates of caesarean section and maternal and neonatal mortality in the 21st century: A worldwide population-based ecological study with longitudinal data]]></article-title>
<source><![CDATA[BJOG]]></source>
<year>2016</year>
<volume>123</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>745-53</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tapia]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caesarean section in Peru: Analysis of trends using the Robson classification system]]></article-title>
<source><![CDATA[Plos One]]></source>
<year>2016</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boutsikou]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caesarean section: Impact on mother and child]]></article-title>
<source><![CDATA[Acta Paediatr]]></source>
<year>2011</year>
<volume>100</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1518-22</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mascarello]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal complications and cesarean section without indication: Systematic review and meta-analysis]]></article-title>
<source><![CDATA[Rev Saúde Pública]]></source>
<year>2017</year>
<volume>51</volume>
<page-range>105</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes: The 2004-2008 WHO Global Survey on Maternal and Perinatal Health]]></article-title>
<source><![CDATA[BMC Medicine]]></source>
<year>2010</year>
<volume>8</volume>
<page-range>71</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grytten]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The impact of hospital revenue on the increase in caesarean sections in Norway: A panel data analysis of hospitals 1976-2005]]></article-title>
<source><![CDATA[BMC Health Serv Res]]></source>
<year>2011</year>
<volume>11</volume>
<page-range>267</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torloni]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Classifications for cesarean section: A systematic review]]></article-title>
<source><![CDATA[Plos One]]></source>
<year>2011</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Betrán]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A systematic review of the Robson classification for caesarean section: What works, doesn´t work and how to improve it]]></article-title>
<source><![CDATA[Plos One]]></source>
<year>2014</year>
<volume>9</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="">
<collab>Ministerio de Salud</collab>
<source><![CDATA[Boletín estadístico de nacimientos Perú: 2015]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robson]]></surname>
<given-names><![CDATA[MS.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Can we reduce the caesarean section rate? Best Pract]]></article-title>
<source><![CDATA[Res Cl Obstet Gynaecol]]></source>
<year>2001</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>179-94</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vogel]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of the Robson classification to assess caesarean section trends in 21 countries: A secondary analysis of two WHO multicountry surveys]]></article-title>
<source><![CDATA[Lancet Glob Health]]></source>
<year>2015</year>
<volume>3</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>260-70</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zemanová]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reducing of cesarean section rate in Krajská nemocnice Liberec - Robson classification]]></article-title>
<source><![CDATA[Ceska Gynekol]]></source>
<year>2018</year>
<volume>83</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>103-7</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barcaite]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cesarean section rates in Lithuania using Robson Ten Group Classification System]]></article-title>
<source><![CDATA[Medicina]]></source>
<year>2015</year>
<volume>51</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>280-5</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Haydar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evolution du taux de césariennes dans une maternité universitaire suisse selon la classification de Robson]]></article-title>
<source><![CDATA[Rev Med Suisse]]></source>
<year>2017</year>
<volume>13</volume>
<numero>580</numero>
<issue>580</issue>
<page-range>1846-51</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jiménez-Hernández]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tasa de cesáreas por grupos de Robson en una institución de mediana complejidad de la ciudad de Bogotá, 2012-2014]]></article-title>
<source><![CDATA[Rev Colomb Obstet Ginecol]]></source>
<year>2016</year>
<volume>67</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>101-11</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zuleta-Tobón]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aplicación del modelo de Robson para caracterizar la realización de cesáreas en una institución de tercer nivel de atención en Medellín, Colombia: Estudio de cohorte transversal]]></article-title>
<source><![CDATA[Rev Colomb Obstet Ginecol]]></source>
<year>2013</year>
<volume>64</volume>
<page-range>90-9</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anichiarico]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización de las pacientes llevadas a cesárea según modelo de Robson y exploración de factores asociados en gestantes atendidas en el hospital Universitario San José de la ciudad de Popayán-Colombia, 1 de enero de 2016 a 30 de junio de 2016]]></article-title>
<source><![CDATA[Rev Chil Obstet Ginecol]]></source>
<year>2017</year>
<volume>82</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>491-503</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Josipovic]]></surname>
<given-names><![CDATA[LB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Analysis of cesarean section delivery at Nova Bila Hospital according to the Robson classification]]></article-title>
<source><![CDATA[Coll Antropol]]></source>
<year>2015</year>
<volume>39</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>145-50</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roberge]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reporting caesarean delivery in Quebec using the Robson classification system]]></article-title>
<source><![CDATA[J Obstet Gynaecol Can]]></source>
<year>2017</year>
<volume>39</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>152-6</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lorente]]></surname>
<given-names><![CDATA[CG]]></given-names>
</name>
<name>
<surname><![CDATA[Raga]]></surname>
<given-names><![CDATA[FG.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implementation of the Robson 10-Group classification system at Hospital de Manises: Optimization of the cesarean delivery rate]]></article-title>
<source><![CDATA[Prog Obstet Ginecol]]></source>
<year>2018</year>
<volume>61</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>16-21</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ono]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparative analysis of cesarean section rates using Robson Ten-Group classification system and Lorenz curve in the main institutions in Japan]]></article-title>
<source><![CDATA[J Obstet Gynaecol Res]]></source>
<year>2016</year>
<volume>42</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1279-85</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Manny-Zitle]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<name>
<surname><![CDATA[Tovar-Rodríguez]]></surname>
<given-names><![CDATA[JM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidencia de la operación cesárea según la clasificación de Robson en el Servicio de Ginecología y Obstetricia del Hospital Gral. Dr. Fernando Quiroz Gutiérrez del Instituto de Seguridad Social al Servicio de los Trabajadores del Estado]]></article-title>
<source><![CDATA[Cirugía y Cirujanos]]></source>
<year>2018</year>
<volume>86</volume>
<page-range>261-9</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robson]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Methods of achieving and maintaining an appropriate caesarean section rate]]></article-title>
<source><![CDATA[Best Pract Clin Obstet Gynaecol]]></source>
<year>2013</year>
<volume>27</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>297-308</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ryan]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vaginal birth after caesarean section: Current status and where to from here?]]></article-title>
<source><![CDATA[Eur J Obstet Gynecol Reprod Biol]]></source>
<year>2018</year>
<volume>224</volume>
<page-range>52-7</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Minkoff]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fear of litigation and cesarean section rates]]></article-title>
<source><![CDATA[Semin Perinatol]]></source>
<year>2012</year>
<volume>36</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>390-4</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fuglenes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Why do some pregnant women prefer cesarean? The influence of parity, delivery experiences, and fear]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2011</year>
<volume>205</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>45.e1-9</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torloni]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[What do popular Spanish women´s magazines say about caesarean section? A 21-year survey]]></article-title>
<source><![CDATA[BJOG]]></source>
<year>2014</year>
<volume>121</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>548-55</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tasa de cesárea en la maternidad del Centro Hospitalario Pereira Rossell]]></article-title>
<source><![CDATA[Arch Ginecol Obstet]]></source>
<year>2016</year>
<volume>54</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>4-6</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez-Rodríguez]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Utilidad y eficacia de la clasificación de Robson para disminuir la tasa de cesáreas]]></article-title>
<source><![CDATA[Ginecol Obstet Mex]]></source>
<year>2018</year>
<volume>86</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>627-33</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fatusic]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cesarean section rate analysis in University Hospital Tuzla according to Robson´s classification]]></article-title>
<source><![CDATA[Med Arch]]></source>
<year>2016</year>
<volume>70</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>213-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
