Classification of caesarean section based on Robson ten group classification system in our hospital

Abstract

Background: Recent data indicate that one in five women undergo caesarean section (CS). In the last decade, there has been a dramatic increase in the caesarean section rate worldwide, which now exceeds 30% in some regions. Thus, the increasing rate of caesarean section became a matter of international public health concern. Our study aimed to classify the CS-based on Robson ten group classification system (RTGCS) criteria which will subsequently enable us to standardise the indication of CS and establish protocols to reduce the number of CS in our set up.Method: A retrospective study was conducted in ESI Hospital, New Delhi wherein Robson TGCS was used to classify CS for 15 months (January 2019 to April 2020).Results: Overall CS rate in our hospital over the specified period was 34.5%. All women with one or more previous cesareans (group V) had the maximum number of cesareans, 37%, followed by nulliparous, single, cephalic, term pregnancy (induced) i.e group II, 22.1% and nulliparous women more than 37 weeks in spontaneous labour (group I), 9.5%.Conclusions: RTGCS is easy to comprehend and reproduce. All deliveries and cesareans should be universally categorized by the Robsons TGCS. An attempt should be made to evaluate the group contributing most to the CS rate and interventions should be made accordingly.

Cesarean section rates in a tertiary referral hospital in Beirut from 2018 to 2020: Our experience using the Robson Classification

“…According to the Lebanese Ministry of Health, cesarean delivery rate was stable in Lebanon at 47% between 2011 and 2017. 16 Our high cesarean rates are comparable to those in the Dominican Republic (56.4%), 15 Egypt (52%), 9 and Iran (48%), 9 but higher than in India (34.5%), 17 Australia (23.5%), 18 Spain (19%), 19 and other Middle Eastern countries, such as Qatar (20%), Iraq (22%), and Saudi Arabia (21%). 9 Multiple studies reported that the major causes of the elevated cesarean section rate in Lebanon were related to: gestational age, multiple gestations, previous cesarean delivery, fetal malpresentation, parity, insurance status, and prenatal care site.…”