Compliance with the Cesarean Surgical Safety Checklis




Patient Safety; Cesarean Section; Checklist; Obstetric Nursing.


Objective: to verify compliance with the procedures of health teams in cesarean surgery. Methods: cross-sectional, descriptive and analytical study, performed in an Obstetric Center of a public hospital, with 220 cesarean surgeries. The Tukey test and the Analysis of Variance were used, considering a significance of 5%. Results: the mean age of the patients was 28.8 years (± 6.06). The main indications for cesarean surgery were: fetal distress (12.8%), gestational diabetes (9.5%), interactivity (9.2%), previous cesarean surgery (8.2%) and severe pre-eclampsia (5.9 %). There was an absence of unified conduct and incipient communication among professionals. The compliance rates of the teams’ compliance with the items in the Checklist for Dimensions A, B and C were, respectively, 36.0%, 11.1% and 50.0%. Conclusion: there was a low compliance of teams to surgical safety procedures in cesarean surgeries.


Ministério da Saúde (BR). Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Diretrizes de atenção à gestante: a operação cesariana [Internet]. 2015 [cited May 2, 2020]. Available from:

Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, Torloni MR. The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PLoS One. 2016; 11(2):e0148343. doi:

Sandall J, Tribe RM, Avery L, Mola G, Visser GH, Homer CS, et al. Short-term and long-term effects of caesarean section on the health of women and children. Lancet. 2018; 392(10155):1349-57. doi:

Keag OE, Norman JE, Stock SJ. Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: systematic review and meta-analysis. PLoS Med. 2018; 15(1):e1002494. doi:

World Health Organization (WHO). Guidelines for safe surgery. Safe surgery saves lives [Internet]. 2009 [cited Mai 2, 2020]. Available from:

Boeckmann LMM, Rodrigues MCS. Adaptation and validation of a surgical safety checklist in the cesarean delivery. Texto Contexto Enferm. 2018; 27(3):e27800172016. doi:

Novo JLVG, Pellicciari CR, Camargo LDR, Bálsamo SB, Novo NF. Indications of cesarean births in hospitals affiliate to the Unified Health System: low and high risks. Rev Fac Ciênc Méd. 2017; 19(2):67-71. doi:

Magnago TSBS, Lanes TC, Gonçalves NGC, Ongaro JD, Almeida FO, Dalmolin GL. Assessment of adherence to safe surgery checklist in a university hospital. Rev Enferm UFSM. 2019; 9(e63):1-12. doi:

Ribeiro HCTC, Quites HFO, Bredes AC, Sousa KAS, Alves M. Adherence to completion of the safe surgery checklist. Cad Saúde Pública. 2017; 33(1):e00046216. doi:

Almeida RE, Rodrigues MCS. Implementation of the surgical safety checklist for pediatric operations: compliance assessment. Rev Gaúcha Enferm. 2019; 40(esp):e20180270. doi:

Birolini DV, Rasslan S, Utiyama EM. Unintentionally retained foreign bodies after surgical procedures. Analysis of 4547 cases. Rev Col Bras Cir. 2016; 43(1):12-7. doi:

Tase TH, Tronchin DMR. Patient identification systems in obstetric units, and wristband conformity. Acta Paul Enferm. 2015; 28(4):374-80. doi:

Gomes APTS, Querido DL, Silva GRG, Almeida LF, Rocha RG. The importance of newborn identification to the delivery of safe patient care. Cogitare Enferm. 2017; 22(3):e49501. doi:

Amaya MR, Maziero ECS, Grittem L, Cruz EDA. Analysis of the registration and content of surgical safety checklists. Esc Anna Nery. 2015; 19(2):246-51. doi:

Keijzer WW, Agha RA, Greig A. WHO Safer Surgery checklist compliance amongst paediatric emergency plastic surgery patients in an UK hospital. Ann Med Surg (Lond). 2017; 21:49-52. doi:

Thomas AN, MacDonald JJ. Patient safety incidents associated with failures in communication reported from critical care units in the North West of England between 2009 and 2014. J Intensive Care Soc. 2016; 17(2):129-35. doi:

Burgener AM. Enhancing communication to improve patient safety and to increase patient satisfaction. Health Care Manager. 2017; 36(3):238-43. doi:

Tostes MF, Haracemiw A, Mai LD. Surgical safety checklist: considerations on institutional policies. Esc Anna Nery. 2016; 20(1):203-9. doi:

Boeckmann LM, Rodrigues MC. Surgical safety in cesarean section: integrative review. Cogitare Enferm. 2015; 20(4):758-66. doi:

Whelehan DF, McCarrick CA, Ridgway PF. A systematic review of sleep deprivation and technical skill in surgery. Surgeon. 2020; 20:30015-9. doi:



How to Cite

Boeckmann, L. M. M., Rodrigues, M. C. S. ., & Oliveira, C. M. de . (2020). Compliance with the Cesarean Surgical Safety Checklis. Rev Rene, 21, e43912.



Research Article

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