Cesarean Section Avoidance based on Obstetric Hemorrhagic Risk: A Decision Support System

Juliano S. Gaspar, Marcelo R. S. Junior, Regina A. L. P. Lopes, Zilma S. N. Reis

2019

Abstract

Introduction: The junction of postpartum hemorrhage (PPH) and cesarean section (C-section) is a potential burden to take into account as a strategy to avoid unnecessary, and dangerous interventions. Despite most of the maternal death could have been prevented, rates are unacceptably high. According to the WHO, the rates of C-section are above recommended. The hypertension and PPH are the leading causes of maternal death worldwide. Aim: This study propose to analyze the association between C-section and PPH in a electronic health record (EHR) database and subsequently implementing an algorithm to assist health professionals in the avoidance of unnecessary C-section based on the estimation of obstetric hemorrhagic risk. Methods: Statistical analysis was performed using SISMater® database within 9,412 records about admissions to childbirth. The C-section rates associated with the occurrence of obstetric hemorrhage reported in the EHR was used to analysis. To implement the algorithm, the WHO and American College of Obstetricians and Gynecologists (ACOG) recommendations were used. The decision rules were developed to estimate the hemorrhagic risk score within the 10 groups proposed by the Robson classification. Discussion: It's expected that the system will help to reduce unnecessary C-section rates and prevent PPH, providing better conditions of prognosis for mother and her newborn.

Paper Citation

in Harvard Style

Gaspar J., S. Junior M., Lopes R. and Reis Z. (2019). Cesarean Section Avoidance based on Obstetric Hemorrhagic Risk: A Decision Support System. In Proceedings of the 12th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2019) - Volume 5: HEALTHINF; ISBN 978-989-758-353-7, SciTePress, pages 281-285. DOI: 10.5220/0007373802810285

in Bibtex Style

@conference{healthinf19,
author={Juliano S. Gaspar and Marcelo R. S. Junior and Regina A. L. P. Lopes and Zilma S. N. Reis},
title={Cesarean Section Avoidance based on Obstetric Hemorrhagic Risk: A Decision Support System},
booktitle={Proceedings of the 12th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2019) - Volume 5: HEALTHINF},
year={2019},
pages={281-285},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007373802810285},
isbn={978-989-758-353-7},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 12th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2019) - Volume 5: HEALTHINF
TI - Cesarean Section Avoidance based on Obstetric Hemorrhagic Risk: A Decision Support System
SN - 978-989-758-353-7
AU - Gaspar J.
AU - S. Junior M.
AU - Lopes R.
AU - Reis Z.
PY - 2019
SP - 281
EP - 285
DO - 10.5220/0007373802810285
PB - SciTePress