Analysis of Cesarean Sections using Robson’s 10 Group Classification: Need of the hour.

Abstract

Introduction: The number of women delivering by caesarean sections has increased exponentially in over decades hence making its reanalysis of absolute importance. Delving into the indications and rationale of this surgery is crucial. Hence the utilization of Robson’s classification has become a need of the hour. The purpose of conducting this study was to audit the caesarean sections performed is a Post-Graduate teaching institute with use of Robson’s classification.

Methods: Retrospective study was carried out for four years in PGI YCMH, Pimpri from January 2018 to December 2021, where details of women delivered by Caesarean section were collected. The indications for caesarean section were sorted as stated by Robson’s classification and the results were analysed.

Results: Caesarean section rate in the hospital during the study duration was 35.22%. The highest contribution to the study population was from Group 2 (23.4%) and then from Group 1 (18.1%) and 3 (17.5%). The lowest representations were from Groups 9 (0.43%) and 8 (1.01%). Group 5 had the greatest contribution to the total caesarean section rate (44.57%) closely followed by Group 2 (19.98). Group 9 had 100% Cesarean section rate even though it was only 0.43% of the population.

Conclusions: Audit of caesarean section as an important intervention is needed and Robson’s classification should be utilized in all maternity cares. This will help in triaging the indications, give insights into important indications and provide a glimpse of burden of the intervention. This will help us to reduce unwanted caesarean section. Robson’s classification can be of great help in it, however it has some limitations which need to be looked at.