Changing trends and determinants of caesarean section using robson criteria in a government tertiary level hospital


  • Anjali Singh Department of Obstetrics and Gynecology, ABVIMS, and Dr RMLH, New Delhi, India
  • Renuka Malik Department of Obstetrics and Gynecology, ABVIMS, and Dr RMLH, New Delhi, India



Caesarean section, Changing trend in caesarean rate, Robson criteria


Background: Robson Ten group classification system (TGCS) was proposed by World Health Organisation in 2014 for assessing, monitoring and comparing caesarean section rate between and within healthcare facilities. This tool was used in this study to analyse the determinants of caesarean section and compare with data of past.

Methods: This observational comparative study was conducted at tertiary level hospital and included in study group A, 300 women delivered by caesarean section from November 2018 to November 2019 and in study group B, 300 women delivered by caesarean section from November 2015 to December 2016. The caesarean sections were classified as per TGCS to determine relative and absolute contribution made by each group to the overall caesarean section rate. The results were analysed to for determinants and change in trend.

Results: In this study, the caesarean section rate in group A was 29.32% and group B was 28.03%. Group 2, 5, 1, 10 made the maximum contributions to overall caesarean section rate in both study groups. Group 2 was the largest contributor (25.00%) in study group A and 27.33% in study group B to overall caesarean sections.

Conclusions: Implementing Robsons TGCS can help in comparing caesarean in an institution over a period of time and also among different institution at national and international level as a method of internal auditing, paving a way to rationalise and decrease Caesarean rate.


Author Biographies

Anjali Singh, Department of Obstetrics and Gynecology, ABVIMS, and Dr RMLH, New Delhi, India


Renuka Malik, Department of Obstetrics and Gynecology, ABVIMS, and Dr RMLH, New Delhi, India



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Original Research Articles