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
The Treatment of Compound Multiple Metatarsal Fractures of Foot using the Induced Membrane Technique: Case Report
Introduction: Bone defect is a major challenge for reconstruction. The purpose of this case report is to present a case with extensive bone defects of multiple metatarsals of the foot treated using the induced membrane t...
Impact of Early Addition of Teneligliptin to Metformin in Type 2 Diabetic Patients
Introduction: Diabetes is a noncommunicable disease. Present study assessed the effectiveness of early addition of Cost effective teneligliptin to Metformin in Type 2 Diabetes Mellitus patients. Material and Methods: 100...
Profile of Alcoholic Liver Disease in Population of Jharkhand: An Insight into the Realm of Alcoholism from Profligacy to Burden
Introduction: Alcoholic liver disease (ALD) is a major cause of mortality and morbidity in our country. Though the alcoholics are predisposed to develop alcoholic liver disease yet only 10- 20% of them develop alcoholic...
Surgical Ethics - Indian Perspective
In present day scenario relevance of this topic is to make aware our colleagues importance of ethics, when doctor –patient relationship are all time low.The word ethics is derived from the Greek word ethos which means “C...
Evaluation of the Antibacterial and Antifungal Activity of Three Retrograde Filling Materials: An In Vitro Study
Introduction: Retrograde filling materials are used with the purpose of obtaining root end sealing in the endodontic surgeries. In addition to improving the sealing of the existing root canal filling, these materials sho...