Analysis of caesarean section rates with the Robson 10 Group Classification

Abstract

Background/Aim: The aim of this study is to analyze the rate of cesarean section with Robson 10 Group Classification system in a tertiary center. Methods:This study was conducted with 7437 patients who applied to Istanbul SBU Kanuni sultan Suleyman TR Hospital gynecology and obstetric clinic between 01.01.2020 -31.12.2020. The mean age, body mass index, and cesarean section indications were evaluated . Robson 10 classification was made . Total number of cesarean sections and total number of women in each group, group size (%), group cesarean section rate (%), absolute group contribution to general cesarean section rate (%),relative group contribution to general cesarean section rate (%) were calculated. Cesarean section indications were evaluated in 16 categories and their numbers and rates were recorded. Results:The study was started with 7443 patients, but 8 patients with missing or incorrect file information were excluded. A total of 7429 patients with a mean age of 28.15±7.9 years and an age range of 15-47 were included in the study. It was determined that 47.8% pregnant women delivered vaginally and 52.2% pregnant women by cesarean section. In terms of the actual contribution of the group to the total cesarean section ratio, the highest rate was found in the fifth group with 22.6%. The highest rate among cesarean indications was found to be previous cesarean section 26.9%. Conclusion:In order to decrease the cesarean section rate, primary cesarean section rates should be decreased. Women should be informed about the advantages of normal delivery and should be encouraged to give birth naturally.