Modification of Robson Classification for Caesarean Section Audit
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 10
Abstract
Introduction With increased safety of operative deliveries the rate of caesarean section have been increasing steadily all over the world. Analysis of the caesarean section rate of a centre would allow insight into preventable causes of the rising problem. Objective This retrospective study was undertaken to analyse the indications of caesarean deliveries in one year period from Jun 2017 to May 2018 using a modification of pre existing Robson’s Classification System and to find out the preventable causes of caesarean section. Method Data retrieved from labor room register and analyzed as per modified ROBSON'S criteria Results Out of total 1678 women delivered during this period , 882 underwent CS (52.8%). The contribution made by previous CS group to overall CS rate was 57.6%, and the repeat caesarean section rate was 57.6% . The primary CS rate was 45.17% and the maximum contribution was made by Group 1 A (term nulliparous women in spontaneous labour) i.e 29.8 % followed by Group 1 C (term nulliparous women with CS before labour) i.e 21 %. Conclusion Modified Robson system can be effectively utilised in analysing mode of delivery and provide valuable information with particular relevance to caesarean sections. Strategies to reduce the caesarean section rate should concentrate on Primigravida who are getting admission to the Hospital for safe confinement i.e not in labour. Strict Policy guidelines on Induction of labour protocols and trial of labour in the previous caesarean cases will improve the situation.
Authors and Affiliations
Dr. Satyabhama Marandi
Keywords
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