![](bg5.png)
To add, our study showed the contribution of each
group of Robson in the cesarean section and that the
group with the highest index is defined as preventable
cesarean sections. We also demonstrated that the vari-
ables used for this classification are significant to the
analysis. This importance is reflected in the addi-
tion of features that inform the quality per registra-
tion tool. However, there is a significant amount of
missing data in basic variables used to study the clas-
sification of delivery type. We believe that encourag-
ing data completion with the possibility of compar-
ing data between hospitals should be a priority in the
health area.
REFERENCES
(2015). Norma 001/2015: Indicac¸
˜
oes de cesariana.
Direc¸
˜
ao-Geral da Sa
´
ude. Minist
´
erio da Sa
´
ude. Lis-
boa.
Begum, T., Nababan, H., Rahman, A., Islam, M. R., Adams,
A., and Anwar, I. (2019). Monitoring caesarean births
using the robson ten group classification system: A
cross-sectional survey of private for-profit facilities
in urban bangladesh. PloS one, 14(8):e0220693–
e0220693.
Betr
´
an, A. P., Vindevoghel, N., Souza, J. P., G
¨
ulmezoglu,
A. M., and Torloni, M. R. (2014). A systematic re-
view of the robson classification for caesarean section:
what works, doesn’t work and how to improve it. PloS
one, 9(6):e97769.
Betr
´
an, A. P., Ye, J., Moller, A.-B., Zhang, J., G
¨
ulmezoglu,
A. M., and Torloni, M. R. (2016). The increas-
ing trend in caesarean section rates: global, re-
gional and national estimates: 1990-2014. PloS one,
11(2):e0148343.
Campos, D., Furtado, J., Cris
´
ostomo, M., Carrapato, R.,
Cunha, E., and Conceic¸
˜
ao, M. (2010). Medidas para
reduzir a taxa de cesarianas na regi
˜
ao norte de portu-
gal. Portugal: Comiss
˜
ao para a reduc¸
˜
ao da taxa de
cesarianas da ARS Norte.
Christensen, R. (2005). Testing fisher, neyman, pearson,
and bayes. The American Statistician, 59(2):121–126.
Kacerauskiene, J., Minkauskiene, M., Mahmood, T., Bartu-
seviciene, E., Railaite, D. R., Bartusevicius, A., Kli-
ucinskas, M., Nadisauskiene, R. J., Smigelskas, K.,
Maciuliene, K., et al. (2018). Lithuania’s experi-
ence in reducing caesarean sections among nulliparas.
BMC pregnancy and childbirth, 18(1):419.
Linard, M., Deneux-Tharaux, C., Luton, D., Schmitz, T.,
Mandelbrot, L., Estellat, C., Sauvegrain, P., Azria, E.,
study group, P., study group, B., et al. (2019). Dif-
ferential rates of cesarean delivery by maternal geo-
graphical origin: a cohort study in france. BMC preg-
nancy and childbirth, 19(1):217.
Ming, Y., Li, M., Dai, F., Huang, R., Zhang, J., Zhang, L.,
Qin, M., Zhu, L., Yu, H., and Zhang, J. (2019). Dis-
secting the current caesarean section rate in shanghai,
china. Scientific reports, 9(1):2080.
Pereira, A. M., Maranh
˜
ao, P. A., Silva-Costa, T., and Cor-
reia, R. J. C. (2019). The impact of electronic ob-
stetric records using the obscare software on scientific
production. In EFMI-STC, pages 55–59.
Rebelo, F., Da Rocha, C. M. M., Cortes, T. R., Dutra, C. L.,
and Kac, G. (2010). High cesarean prevalence in a na-
tional population-based study in brazil: the role of pri-
vate practice. Acta obstetricia et gynecologica Scan-
dinavica, 89(7):903–908.
Robson, M. S. (2001). Classification of caesarean sections.
Fetal and maternal medicine review, 12(1):23–39.
Senanayake, H., Piccoli, M., Valente, E. P., Businelli, C.,
Mohamed, R., Fernando, R., Sakalasuriya, A., Ih-
san, F. R., Covi, B., Wanzira, H., et al. (2019). Im-
plementation of the who manual for robson classi-
fication: an example from sri lanka using a local
database for developing quality improvement recom-
mendations. BMJ open, 9(2):bmjopen–2018.
Vogel, J. P., Betr
´
an, A. P., Vindevoghel, N., Souza, J. P.,
Torloni, M. R., Zhang, J., Tunc¸alp,
¨
O., Mori, R.,
Morisaki, N., Ortiz-Panozo, E., et al. (2015). Use of
the robson classification to assess caesarean section
trends in 21 countries: a secondary analysis of two
who multicountry surveys. The Lancet Global Health,
3(5):e260–e270.
Zimmo, M. W., Laine, K., Hassan, S., Bottcher, B., Fosse,
E., Ali-Masri, H., Zimmo, K., Falk, R. S., Lieng, M.,
and Vikanes,
˚
A. (2018). Caesarean section in pales-
tine using the robson ten group classification system:
a population-based birth cohort study. BMJ open,
8(10):e022875.
Informatics as Support for Changes in Health Policy: A Case in Obstetrics
749