Analysis of rates of caesarean section using Robson’s 10-group classification in a tertiary care hospital
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 10, Issue 2
Abstract
Background: The most commonly performed surgery in obstetrics is caesarean section.In view of the increasing rate of Caesareansection which is a public health concern WHO proposed the Robson’s 10-Group classification for assessing Caesarean section rates at individual health facilities and to formulate strategies to reduce Caesarean section rates. The present study was conducted to analyse the rates of Caesarean sections in a tertiary care hospital using Robson’s 10-Group classification system and to identify the specific group of women to be targeted to reduce the caesarean section rate. Materials and methods: This was a retrospective study conducted over a period of 1 year from 1stJanuary 2018 to 31stDecember 2018 at the OBGY Department, DY Patil Hospital. The delivered women were classified using Robson’s 10 Group classification. The proportion of women delivering in each group, CS rate in each group and the relative contribution of each group to overall caesarean section was calculated.Results: A total of 2194 women delivered during the study period out of which 1013 women were delivered by Caesarean section. Caesarean section rate in this study was 46.2%. Primigravida group was the larger group that contributed to 38.9% of total deliveries. Major contributors to overall CS rate were Group 5 at 38.2% followed by Group 2 and 1 at 21.4 %and 13.3% respectively. Totally these three Groups contributed to 72.9% of the overall CS rate while the other Groups contributed to 27.1% of total CS rate.Conclusion: Robson’s 10 Group classification is helpful to classify pregnant women and identify the category of women most likely to have CS. Reduction of primary CS rate and increase of VBAC rates will help to decrease the CS rate.
Authors and Affiliations
Sudha Rani Gandi, Babita Vaswani, Sriram Gopal
Keywords
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- EP ID EP615057
- DOI 10.26611/101210215
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