DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20182947

Analysis of caesarean section rate according to Robson’s criteria in tertiary care centre

Shanti Sah, Ruchica Goel, Jai Kishan Goel

Abstract


Background: Caesarean Section (C.S.) delivery rate is steadily increasing worldwide, including India. It is difficult to determine the optimum categorisation of C.S. Robson system is most widely accepted classification worldwide. The objective of the present study is to analyze the incidence of deliveries and caesarean section rate according to Robson’s criteria at SRMS-IMS, Bareilly, Uttar Pradesh.

Methods: The record of total women admitted in labour unit from June 2017 to May 2018 were analyzed based on their age, parity, gestation age, mode of delivery and group they belong according to Robson’s classification.

Results: Among 2560 women who delivered during the study period, 1030(40.23%) had caesarean section. Out of the total caesarean section 55.15% had primary caesarean section while repeat section were done in 44.85%. The most frequent indication for primary caesarean were fetal compromise and failure to progress while for repeat caesarean scar tenderness was the frequent indication. Robson’s group V had maximum caesarean section rate followed by group I. Breech presentation contributed to 11.55% to overall caesarean sections.

Conclusions: In present study group V, I, II were found to be major contributors to overall caesarean section rates. Modifiable factor for reducing caesarean rate would be to improve successful induction of labour which would decrease primary caesarean rate hence the chance of repeat section.


Keywords


Caesarean Section, Robson’s ten group classification

Full Text:

PDF

References


Nutritional institutes of health state-of-the-science conference statement. Caesarean delivery on maternal request. Obstet Gynecol. 2006;107:1386-97.

Dhodapkar SB, Bhairavi S, Daniel M, Chauhan NS, Chauhan RC. Analysis of caesarean section according to Robson,s ten group classification system at atertiary care teaching hospital in South India. Int J Reprod Contracep Obstet Gynaecol. 2015;4(3):745-9.

Jacob KJ, Jayaprakash M, Hibina KP. TMC (Thrissur Medical College) modified Robson’s criteria for caesarean section. Int J Reprod Contracept Obstet Gyanecol. 2017;6(11):5038-43.

Shepherd D, Farine D. Classification of Caesarean Section in Canada: The Modified Robson Criteria. J Obstet Gynaecol Can. 2012;34(10):976-9.

Robson M, Murphy M, Byne F. Quality assurance: the 10-group classification system (Robson classification), induction of labour caesarean delivery. Int J Gynecol Obstet. 2015:S23-7.

Betran AP, Vindevoghel N, Souza JP, Gulmezoglu AM, Torloni MR. A systemic review of the Robson classification for caesarean section: What works, doesn’t work and how to improve it. PloS One.2014;9(6):e97769.

Patel RV, Gosalia EV, KJ, Vasa PB, Pandya VM. Indications and trends of caesarean birth 2014;3:575-80.

Ray A, Jose S. Analysis of caesarean section rate according to Robson’s ten group classification system and evaluating the indication within the groups. Int J Reprod Contracept Obstet Gynaecol. 2017;6(2):447-51.

Shirsath A, Rishud N. Analysis of caesarean section rate according to Robson’s 10-group classification system at a tertiary care hospital. Int J Sci Res. 2014;3(1):401-2.

Kansara V, Patel S, Aanand N, Muchhadia J, Kagathra B, Patel R. A recent way of evaluation of caesarean birth rate by Robson’s 10 group system. J Med Pharmaceut Allied Sci. 2014;01:62-70.

Khandelwal R, Patel P, Pitre D, Sheth T, Maitra N. Comparison of cervical length measured by Transvaginal Ultrasonography and Bishop score in predicting response to labour induction. J Obstet Gynaecol India.2018;68(1):51-57.

Tanaka K, Mohomed K. The ten group Robson classification: A single centre approach identifying strategies to optimise caesarean section rate. Hindawi Obstet Gynaecol. Int. 2017.ID5648938.

Tura AK, Pijpers O, de Man M, Cleveringa M, Koopmans I, Gure T et al. Analysis of caesarean section using Robson 10 group classification system in an university hospital in eastern Ethiopia: a cross sectional study. BMJ open 2018;8: e020520.

Samba A, Mumuni K. A review of caesarean section using the ten-group classification system (Robson classification) in the Korle-Bu Teaching Hospital (KBTH), Accra, Ghana. Gynaecol Obstet (Sunnyvale)2016,6:6.