Analysis of cesarean section rate according to Robson’s classification in an urban health centre in Senegal

Authors

  • Magatte Mbaye Gynaecologic and Obstetric Clinic, Aristide Le Dantec Teaching Hospital, PO BOX 3001, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Mamour Gueye Gynaecologic and Obstetric Clinic, Aristide Le Dantec Teaching Hospital, PO BOX 3001, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Mame Diarra Ndiaye Gueye Gynaecologic and Obstetric Clinic, Aristide Le Dantec Teaching Hospital, PO BOX 3001, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Ndeye Khady Sene Niang Gynaecologic and Obstetric Clinic, Aristide Le Dantec Teaching Hospital, PO BOX 3001, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Jean Charles Moreau Gynaecologic and Obstetric Clinic, Aristide Le Dantec Teaching Hospital, PO BOX 3001, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20150435

Keywords:

Caesarean section rate, Robson’s Ten groups classification system

Abstract

Background: Robson, proposed a new classification system, the Robson’s Ten-Group Classification System to allow critical analysis according to characteristics of pregnancy. The objective was to describe caesarean rates in an urban health centre in Dakar using Robson’s Ten groups classification

Methods: This study was performed in Philippe Senghor health centre in Dakar (Senegal), a secondary health centre that performs CS since 2011. Before this date, only midwifes performed deliveries in this centre. The study took place between 1 January and 31 December 2013. All patients who delivered during this period by CS were included.

Women were classified in 10 groups according to Robson’s classification, using maternal characteristics and obstetrical history. For each group, we calculated its relative size and its contribution to the overall caesarean rate.

Results: The overall rate of caesarean was 18.2%. The main contributors to the overall caesarean rate were primiparous women in spontaneous labour (group 1) and women with previous caesarean section (group 5). Further analysis of group 1 showed that more than half of CS indications in this group were fetal-pelvic disproportion in 55.2% and fetal hypoxia in 27%.

Conclusion: The Robson’s classification is easy to use. Each maternity unit can compare its rates with those of units with similar level, to find whether some groups of women have very high rates of caesarean sections. Attention should be made because CS rates is rising up and will be problematic in our low resource countries. It is time to implement obstetric audits to lower the CS rates.

Metrics

Metrics Loading ...

References

Betran AP, Gulmezoglu AM, Robson M, Merialdi M, Souza JP, Wojdyla D, et al. WHO global survey on maternal and perinatal health in Latin America: classifying caesarean sections. Reprod Health. 2009;6:18.

Thomas J. The National Sentinel Caesarean Section Audit Report. London. RCOG Press 2001.

Turcot L, Marcoux S, Fraser WD. Multivariate analysis of risk factors for operative delivery in Nulliparous women. Canadian early amniotomy study group. Am J Obst Gynae 1997; 176: 395-402.

Robson MS. Can we reduce the caesarean section rate? Best Pract Res Clin Obstet Gynaecol. 2001;15(1):179-94.

Agence Nationale de la Statistique et de la Démographie (ANSD) [Sénégal], et ICF International. 2015. Sénégal: Enquête Démographique et de Santé Continue (EDS-Continue 2014). Rockville, Maryland, USA: ANSD et ICF International.

Chong C, Su LL, Biswas A. Changing trends of cesarean section births by the Robson Ten Group Classification in a tertiary teaching hospital. Acta Obstet Gynecol Scand. 2012;91(12):1422-7.

Vogel JP, Betran AP, Vindevoghel N, Souza JP, Torloni MR, Zhang J, et al. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob Health. 2015;3(5):e260-70.

Downloads

Published

2017-02-09

Issue

Section

Original Research Articles