A Study and Analysis of Cesarean Sections by Robson\'s Ten Group Classification System

Nimbkar, Aditya R; Panchbudhe, Shruti A; Deshmukh, Prasad

doi:10.5005/jp-journals-10006-2084

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…[9][10][11] [12][13][14][15][16] The major contributors to CS were similar to study by Deshmukh et al at Maharashtra and at Bellary where groups 5, 1 and 2 were the highest. 17,10 Analysis of indications revealed that foetal distress was the commonest in groups 1 to 4 which was similar to study at Belgavi while the study by Murugesan et al past dates and oligohydramnios were the commonest. 11,18 In group 5 the commonest indication was previous CS and in group 10 amniotic fluid disorders was commonest which was in line with several studies.…”

Section: Discussionsupporting

confidence: 71%

Robson classification: beyond caesarean rates

Patil,

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Caesarean rates are increasing globally. Unnecessary caesarean sections are a public health concern and are associated with both short term and long-term risks. Robson’s ten group classification is the accepted classification for caesarean section and implementing it is an effective measure in understanding which group should be focussed to reduce the caesarean section rates. The classification can be used as a framework for assessing perinatal and maternal outcome. Methods: All the deliveries with gestational age more than 28 weeks at Gadag Institute of medical sciences, Karnataka, during April 2022 were included. Obstetric characteristics like parity, gestational age, previous caesarean sections, onset of labour, lie, presentation, mode of delivery, indications for caesarean section and foetal and maternal complications were recorded. Results: The caesarean rate was 57.9%. Groups 5, 1 and 2 were the major contributors. Previous LSCS was the most common indication 46%. In groups 1 to 4 foetal distress was the most common indication. The overall proportion of unfavourable foetal outcome among all deliveries was 17.7% caesarean deliveries (20.1%), vaginal deliveries 14.5%. The proportion of unfavourable maternal outcome was 1.6%; 8 women delivered by CS (2.5%) and 1 woman by vaginal delivery (0.4%). Conclusions: Caesarean section should be used appropriately and increase in caesarean section does not ensure favourable maternal or perinatal outcome.

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Section: Discussionsupporting

confidence: 71%

Robson classification: beyond caesarean rates

Patil,

2023

Int J Reprod Contracept Obstet Gynecol

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Cesarean Audit: Using Robson’s 10 Group Classification at C. U. Shah Medical College and Hospital

HIMANI MAL,

HARSHDEEP K JADEJA,

BHAVESH B AIRAO

2024

Asian J Pharm Clin Res

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Objective: The World Health Organization (WHO) has expressed concern over the rising cesarean section (CS) rate, particularly in middle-and high- income countries. The reasons behind this increase are still debated, but the WHO declared that there is no justification for a rate higher than 10–15%. The Robson classification system, advocated by WHO and FIGO, can help assess and compare CS rates. Study Design and Methods: The Gynecology Department at C.U. Shah Medical College and Hospital conducted an observational study on pregnant patients hospitalized for labor pain between January 2020 and December 2022, with a focus on CS patients. The study used Robson’s 10-group categorization technique to extract maternal features and categorize cesarean performances. Results: Between January 2020 and December 2022, C. U. Shah Medical College and Hospital delivered 4967 patients, of whom 1,572 underwent a CS section. 46.3% were nulliparous, and 53.7% were multipara. 78.31% of patients arrived at full term, with 98.8% having single conceptions. 94.8% of the cases had a cephalic presentation, 4.4% had a breech presentation, and 0.81% had a transverse position. Conclusions: Robson classification is a useful technique for analyzing cesarean delivery (CS) rates, aiding in identifying corrective methods to reduce burden on healthcare systems, and promoting accurate labor monitoring, fetal scalp electrodes, and prenatal education.

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Analysis of Cesarean section rates using Robson’s ten-group classification system in comparison with the MCS population reference

Apuroopa,

Nimbargi,

Dabhadkar

2024

MGMJ

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Background: The escalating global prevalence of Cesarean section (CS) deliveries raises concerns. To address this, the World Health Organization (WHO) suggests employing Robson’s ten-group classification system (RTGCS) for assessing and comparing CS rates among obstetric units. The aim of our study was to assess our hospital’s CS rate per group and juxtapose it with WHO Multi-Country Survey (MCS) population reference data. Furthermore, we delve into prevalent obstetric Indications for CS and examine potential strategies for mitigating the high CS rate. Materials and Methods: This observational cross-sectional study occurred at an Indian tertiary care teaching hospital from October 2018 to May 2020. Women delivering during this period were classified based on RTGCS, and Cesarean rates were computed across various groups. These rates were then compared with the WHO’s MCS population reference guidelines. Additionally, we investigated obstetric Indications for CS within these groups. Results: Of 2994 deliveries during the study period, 42.55% were CS. Notably, group 5 (29.75%) and group 1 (21.74%) had the highest CS rates. The CS rate of nulliparous women was 40.9%. Primary CS groups frequently cited fetal distress as the reason, while group 5 showed repeat CS due to previous CS with obstetric complications, on-demand CS, and scar integrity concerns. Conclusion: Despite our hospital’s overall high CS rate, group-specific contributions align with existing research. High-risk pregnancies, previous CS cases, and preterm CS for neonatal care notably contribute. Efforts should target in reducing CS in low-risk groups.

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A Study and Analysis of Cesarean Sections by Robson\'s Ten Group Classification System

Cited by 5 publications

References 10 publications

Robson classification: beyond caesarean rates

Robson classification: beyond caesarean rates

Cesarean Audit: Using Robson’s 10 Group Classification at C. U. Shah Medical College and Hospital

Analysis of Cesarean section rates using Robson’s ten-group classification system in comparison with the MCS population reference

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