Analysis of indication of caesarean sections according to Robson’s ten group classification system at a tertiary care teaching hospital in South Rajasthan
Keywords:Caesarean section, Robson’s classification
Background: The objective of this study was categorization and evaluation of the caesarean section rate at our institute as per Robson’s formula.
Methods: This retrospective study was conducted at department of obstetrics and gynecology, RNT Medical college, Udaipur, a tertiary care teaching hospital in South Rajasthan. The data was collected retrospectively from December 2020 to February 2020 over a period of 2 months and percentage were calculated in various groups as per Robson’s ten group classification system.
Results: Among a total of 1195 women delivered during study period, 420 (35.14%) delivered by CS. Women with previous CS (group 5) contributed maximum (35.95%) to the total number of CS followed by group 2 (27.14%).
Conclusions: Standardization of indication of caesarean deliveries, regular audits and definite protocol in hospitals will aid in curbing the rate of caesarean deliveries in hospitals.
World Health Organization. Appropriate technology for birth. Lancet. 1985;326(8452):436-7.
Aithabe F, Belizan JM. Caesarean section: the paradox (comment). Lancet. 2006;368(9546):1472-3.
Torloni MR, Betran AP, Souza JP, Widmer M, Allen T, Gulmezoglu M, et al. Classifications for cesarean section: a systematic review. PloS one. 2011;6(1):e14566.
Robson MS. Caesarean sections. Fetal Matern Med Rev. 2001;12(1):23-39.
Patel RV, Gosalia EV, KJ, Vasa PB, Pandya VM. Indication and trends of caesarean birth delivery in current practice scenario. Int J Reprod Contracept Obstet Gynecol. 2014;3(5):75-80.
Katke RD, Zarariya AN, Deai PV. LSCS audit in a tertiary care centre in Mumbai; to study indications and risk factors in LSCS and its effect on early perinatal morbidity and mortality rate. Int J Reprod Contracept Obstet Gynecol. 2014;3:963-8.
Wanjari SA. Rising caesarean section rates: a matter of concern? Int J Reprod Contracept Obstet Gynecol. 2014;3:728-31.
Kansara V, Patel S, Aanand N, Muchhadia J, Kegathra 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.
Shirsath A, Risbud N. Analysis of caesarean section rates according to Robson’s 10 group classification system at a tertiary care hospital. Int J Sci Res. 2014;3(1):401-2.
Bolognani CV, Reis LB, Dias A, Calderon ID. Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil. PloS One. 2018;13(2):e0192997.
Littorp H, Kidanto HL, Nystrom L. increasing caesarean section rates among low risk groups: a panel study classifying deliveries according to Robson at a university hospital in Tanzania. BMC Pregnanc Childbirth. 2013;13:2393.
Tura AK, Pijpers O, Man MD. Analysis of caesarean sections using Robson 10-group classification system in a university hospital in eastern Ethiopia: a cross sectional study. BMJ Open. 2018;8:1773-7.
Kelly S, Sprague A, Fell DB. Examining caesarean sections in Canada using the Robson classification system. J Obstet Gynaecol Can. 2013;35:206-14.
Roberg S, Dube E, Blouin S. Reporting caesarean delivery in Quebec using the Robson classification system. J Obstet Gynaecol Can. 2017;39:152-6.
Vogel JP, Betran AP, Vindevoghel N. Use of Robson classification to assess caesarean section rates in 21 countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob Health. 2015;3(5):260-70.
Elimian A, Figueroa R, Teani N. Intraparteum assessment of fetal wellbeing: a comparison of scalp stimulation with scalp blood pH sampling. Obstet Gynecol. 1997;89(3):373-6.
Wingert A, Johnsonc C, Featherstone R, Sebastianski M, Hartling, Wilson RD. Adjunct clinical interventions that influence vaginal birth after caesarean rates: a systematic review. BMC Pregnanc Childbirth. 2018;18(1):452.