Cesarean section rate has been on the rise. It is commonly perceived as a simple and safe alternative to difficult vaginal birth. However, there are situations during C section where delivery of fetus may be difficult. This can cause maternal and fetal complications. To avoid such mishaps, anticipation of potential difficulties and planning in advance can be fruitful. This amounts to mobilization of a good team of anesthetist, assistant and skilled neonatologist. Proper technical skills are needed not only to use the equipment but to deal with such situations for safe delivery of the fetus. The training in technical skills can be imparted through drill protocols under C section skills. This way, one should try and accomplish safe atraumatic fetal delivery.

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Background: Caesarean section rates are on the verge of rise as more high risk pregnancies are diagnosed. WHO proposes the Robsons 10 group classification for each indication of caesarean section to analyse the caesarean section rates. This will help in finding the solution to decrease the caesarean section rates. Methods: We performed a retrospective cross sectional study in a tertiary women hospital on the data of 5 years for caesarean sections and its indications. Women who underwent caesarean section in this period are included in the study and they were classified in the 10 groups according to WHO guidelines and each group's percentages were calculated. The comparison and analysis of CS rates within and across these groups of women was done according to Robsons classification. Results: We found out that group 5, 2 and 1 are the major investing groups for the caesarean section rates and contributes total of 69.87%. Group 5 contributes about 32.97% followed by group 2 and group 1. Group 1 is the major group where caesarean section rates can be reduced and hence we can bring down the rates from group 5. Conclusions: Robsons classification is simple, robust, reproducible and clinically relevant criteria for caesarean section rates. Every effort should be made to provide caesarean sections to women in NEED, rather than striving to achieve a specific rate.

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