Study on caesarean section rate using Robsons ten group classification system and its implications- a retrospective analysis from a medical college in the union territory of Puducherry
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20251231Keywords:
Fetal distress, Indications of caesarean section, Previous CS, Robsons classificationAbstract
Background: Caesarean section is one of the major surgeries in obstetrics and it helps in preventing various complications and difficult labour ensuring the safety of both mother and baby. The aim of the study was to analyse the rate and various indication of caesarean section in our hospital and to analyse it using RTGCS.
Methods: Retrospective data collected from hospital records in the department of obstetrics and gynecology of SVMCH, Puducherry from January 2021 till January 2024 have been taken and analysed to study the various indications of caesarean section and to classify them according to RTGCS.
Results: Out of 2022 deliveries conducted during the study period, 984 (48.6%) were caesarean section. The most common indication of CS was previous LSCS (35.6%), belongs to group- 5 of RTGCS followed by fetal distress (20.5%). Other common indications were failed induction (7.4%), breech (4.3), IVF/twin (5.8%). 6% of women underwent preterm CS (group 10 of RTGCS). Around 1% of the women underwent CS for malposition/malpresentation and maternal request.
Conclusions: In our study, the rate of caesarean section is higher compared to WHO recommendation. Caesarean section if performed when needed utmost in case of obstetrics risks and emergencies may reduce the rate of CS. Trial of labour can be considered for women with previous CS who were the major contribution for repeat CS. Proper counselling and education to the mother may help in reducing the fear and anxiety about normal vaginal delivery, thus reduces the rate of other non-obstetrics indication like maternal request.
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References
World Health Organisation. Monitoring emergency obstetric care: a handbook. Geneva, Switzerland; 2009.
Robsons classification: Implementation manual. Available from: https://www.who.int/publications/ i/item/9789241513197. Accessed on 2 June 2022.
Althabe F, Belizon JM. LSCS: the paradox. Lancet. 2006;368(9546):1472-3. DOI: https://doi.org/10.1016/S0140-6736(06)69616-5
Sharma N, Jhanwar A. Study of incidence, trends and determinants of caesarean section in tertiary care hospital of Rajasthan, India. Int J Reprod Contracept Obstet Gynecol. 2018;7(7):2672-6. DOI: https://doi.org/10.18203/2320-1770.ijrcog20182504
Rafique S, Rana G. Changing trends in cesarean section rate and indications. Pak J Surg. 2012;28(1):60-4.
Nahar K. Indications of cesarean section: study of 100 cases in Mymensingh medical college hospital. J Shaheed Suhrawardy Med Coll. 2009;1(1):6-10. DOI: https://doi.org/10.3329/jssmc.v1i1.12167
Yadav S, Kaur S, Yadav SS, Thakur B. Analysis of caesarean rate, indications and complications: review from medical college Ambala, Haryana, India. Int J Reprod Contracept Obstet Gynecol. 2016;5(10):3326-9. DOI: https://doi.org/10.18203/2320-1770.ijrcog20163282
Singh N, Pradeep Y,Jauhari S. Indications and determinants of cesarean section: A cross‑sectional study. Int J App Basic Med Res 2020;10:280-5 DOI: https://doi.org/10.4103/ijabmr.IJABMR_3_20
Dorji T, Dorji P, Gyamtsho S, Tamang ST, Wangden T, Wangmo S, et al. Rates and indications of caesarean section deliveries in Bhutan 2015-2019: a national review. BMC Pregnancy Childbirth. 2021;21(1):698. DOI: https://doi.org/10.1186/s12884-021-04173-x
da Silva Charvalho P, Hansson Bittár M, Vladic Stjernholm Y. Indications for increase in caesarean delivery. Reprod Health. 2019;16:1-6. DOI: https://doi.org/10.1186/s12978-019-0723-8
Janani L, Christina S, Akoijam BS, Nameirakpam D, Laiphrakpam RS. Analysis of cesarean section rates and its indications using Robson’s classification at a tertiary care hospital, Manipur. Indian J Public Health. 2022;66:434-8. DOI: https://doi.org/10.4103/ijph.ijph_1928_21
Abdo AA, Hinderaker SG, Tekle AG, Lindtjørn B. Cesarean section rates analysed using Robson’s 10-group classification system: a cross-sectional study at a tertiary hospital in Ethiopia. BMJ Open. 2020;10(10):e039098. DOI: https://doi.org/10.1136/bmjopen-2020-039098
Jiandani F, Somalwar S, Bhalerao A. Frequency of cesarean section classified by Robson’s ten group classification system: a scoping review. Cureus. 2023;15(6):e41091. DOI: https://doi.org/10.7759/cureus.41091
Gautam P, Karki C, Adhikari A. Robson’s group 2 criteria among total cesarean sections in a tertiary care hospital: a descriptive cross-sectional study. JNMA J Nepal Med Assoc. 2021;59(243):1098-101 DOI: https://doi.org/10.31729/jnma.7138
Dhodapkar SB, Bhairavi S, Daniel M, Chauhan NS, Chauhan RC. Analysis of cesarean sections according to Robson’s ten group classification system at a tertiary care teaching hospital in South India Int J Reprod Contracept Obstet Gynecol. 2015;4:745-9. DOI: https://doi.org/10.18203/2320-1770.ijrcog20150085
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