Analysis of cesarean section births according to Robson’s Ten Group Classification in a tertiary hospital over a 6-year period (2010–2015)
Journal Title: Ginekologia i Położnictwo medical project - Year 2016, Vol 4, Issue 42
Abstract
ntroduction. In many obstetric situations, cesarean section is a life-saving procedure, and its guaranteed availability is contained in the Millennium Development Goals of the World Health Organization. It is also a surgical procedure that is not free of complications. That is why its overuse can be harmful both to women and to neonates. Aim. Analysis of cesarean sections performed in 2010–2015 in the Specialist Gynecologic and Obstetric Hospital in Wałbrzych using the Robson classification. Materials and methods. A retrospective analysis involved all women who gave birth by cesarean section in the Specialist Gynecologic and Obstetric Hospital in Wałbrzych from January 1 2010 to December 31 2015. Each patient was classified into one of 10 groups according to Robson. An overall cesarean section rate and cesarean section rates for individual groups were calculated, and trends in the fluctuation of these rates in individual groups over the investigated 6-year period were presented. Results. The cesarean section rate in 2010–2015 amounted to 24.76. There were 11,315 childbirths, 2801 of which ended with a cesarean section. Nulliparous women with term cephalic pregnancy in spontaneous labor (Robson’s Group 1) and multiparous women with single term cephalic pregnancy with a previous cesarean section (Group 5) accounted for 44.8% of all cases of cesarean sections in 2010, and 52.6% in 2015. This increase resulted from a markedly higher rate of cesarean sections in Group 5 (women after at least one cesarean section). Conclusions. It seems that all attempts to rationalize the cesarean section rate should focus on proper classification of women with a history of cesarean section (Group 5) to natural childbirths. The number of women with a history of cesarean section that do not consent to natural labor increases markedly. The optimization of medical indications for the primary cesarean delivery, including extra-obstetric ones (Groups 1 and 2), is a more important matter since this will decrease the number of women with a history of cesarean section (Group 5).
Authors and Affiliations
Lech Wojewodzic, Sławomir Suchocki, Rafał Mazurek, Joanna Lipień, Maria Jakubiak-Rusak
Keywords
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