An Analysis of Caesarean Section Rate by Robson’s Ten Group Classification System to Understand Which Groups to be Targeted- A District Level Hospital Based Study
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 3
Abstract
Introduction: The Caesarean section(CS) rate has been increasing throughout the world and it has become a major public health issue. There is no universally acceptable classification system to monitor and compare the CS rate between the hospitals, countries and regions. WHO has proposed Robson’s Ten Group Classification System to be used. This study was done to analyse the CS rate and to understand which groups to be targeted to reduce CS rates. Material and Methods: This is a retrospective study done from September 2014 to September 2015 (13 months). Data was collected from the case sheets for all the women who underwent Caesarean section during the study period. Data was analysed using Microsoft Excel 2007. A Pareto chart was constructed to understand which groups were contributing to 80% of Caesarean sections. Results: The total number of Caesarean sections was 542 and total deliveries were 1451 during the study period giving an overall CS rate of 37.3%. Group 1, 2 and 5 together contributed to 81.6% of total CS. Group 5 was the largest contributor with 47%, Group 2 accounting 23% and Group 1 with 11.6% of total CS rate. Conclusion: Robson’s classification system for Caesarean sections is very useful to analyse the rates in different groups and specific interventions can be targeted to those groups. This helps us to allocate resources wisely and optimise Caesarean section rate without increasing the maternal and neonatal morbidity and mortality.
Authors and Affiliations
Naima Fathima
Keywords
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