CESAREAN AUDIT: USING ROBSON’S 10 GROUP CLASSIFICATION AT C. U. SHAH MEDICAL COLLEGE AND HOSPITAL
DOI:
https://doi.org/10.22159/ajpcr.2024v17i10.51803Keywords:
Cesarean delivery, Robson classification, CS rate, Trial of laborAbstract
Objective: The World Health Organization (WHO) has expressed concern over the rising cesarean section (CS) rate, particularly in middle-and high- income countries. The reasons behind this increase are still debated, but the WHO declared that there is no justification for a rate higher than 10–15%. The Robson classification system, advocated by WHO and FIGO, can help assess and compare CS rates.
Study Design and Methods: The Gynecology Department at C.U. Shah Medical College and Hospital conducted an observational study on pregnant patients hospitalized for labor pain between January 2020 and December 2022, with a focus on CS patients. The study used Robson’s 10-group categorization technique to extract maternal features and categorize cesarean performances.
Results: Between January 2020 and December 2022, C. U. Shah Medical College and Hospital delivered 4967 patients, of whom 1,572 underwent a CS section. 46.3% were nulliparous, and 53.7% were multipara. 78.31% of patients arrived at full term, with 98.8% having single conceptions. 94.8% of the cases had a cephalic presentation, 4.4% had a breech presentation, and 0.81% had a transverse position.
Conclusions: Robson classification is a useful technique for analyzing cesarean delivery (CS) rates, aiding in identifying corrective methods to reduce burden on healthcare systems, and promoting accurate labor monitoring, fetal scalp electrodes, and prenatal education.
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References
Tura AK, Pijpers O, de Man M, Cleveringa M, Koopmans I, Gure T, et al. 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:e020520. https://doi.org/10.1136/bmjopen-2017-020520.
Adewuyi EO, Auta A, Khanal V, Tapshak SJ, Zhao Y. Cesarean delivery in Nigeria: prevalence and
associated factors―a population-based cross-sectional study. BMJ Open. 2019;9:e027273.
https://doi.org/10.1136/bmjopen-2018-027273.
Akadri AA, Odelola OI. A six year review of caesarean section at Olabisi Onabanjo University
Teaching Hospital Sagamu, south west Nigeria. Nigerian Medical Practitioner 2017; 71 (3–4): 53 – 7
Betrán AP, Ye J, Moller A-B, Zhang J, Gülmezoğlu AM, Torloni MR. The increasing Trend in cesarean
section rates: Global, Regional and National estimates: 1990–2014. PLoS ONE. 2016;11(2):e0148343.
https://doi.org/10.1371/journal.pone.0148343.
Zwecker P, Azoulay L, Abenhaim HA. Effect of fear of litigation on obstetric care: a nationwide
analysis on obstetric practice. Am J Perinatol. 2011; 28(4):277–84. doi: https://doi.org/10.1055/s-0030-
WHO (1985) Appropriate technology for birth. Lancet 2: 436–437.
Robson MS (2001) Classification of caesarean sections. Fetal and Maternal Medicine Review 12: 23–
Torloni MR, Betran AP, Souza JP, Widmer M, Allen T, Metin G, et al. Classifications for caesarean
section: a systematic review. PLoSONE 2011:6(1):e14566.
Betrán AP, Torloni MR, Zhang J, Gülmezoğlu AM, WHO Working Group on Caesarean Section. WHO
statement on caesarean section rates. BJOG. 2016;123(5):667–70. https://doi.org/10.1111/1471-
13526.
FIGO Working group on challenges in. Care of mothers and infants during labour and delivery. Best
practice advice on the 10-group classification system for cesarean deliveries. Int J Gynaecol Obstet.
;135:232–3.
WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections. Geneva:
World Health Organization. 2018. https://www.who.int/publications/i/item/9789241550338
Shruti Bhavi Patil,Rajitha D.Robson classification: beyond caesarean rates.International Journal of
Reproduction, Contraception, Obstetrics and Gynecology. 2023 july ;12(7):2241-2246.
Dr. Preeti Punatar, Dr. Bhakti Pattani.Analysis of casearean section Rates Based on ROBSON
Classification System in a Tertiary Care Hospital in West Coast of Gujarat, India. International Journal
of Innovative Research in Medical Science (IJIRMS) 2023 April;8(4): 160-164
Dolly Chavda,Kamal Goswam,Kavita Dudhrejiya. A cross sectional study of 1000 lower segment
cesarean section in obstetrics and gynecology department of P. D. U Medical College, Rajkot, Gujarat,
India.International Journal of Reproduction, Contraception, Obstetrics and Gynecology.2017 april
;6(4):1186-1191
Deshmukh P, Panchbudhe SA, Nimbkar AR. A study and analysis of cesarean sections by Robson's ten
group classification system. J South Asian Feder Obs Gynae. 2022;14 (4):370-3.
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