Frequency of Caesarean Section Classified by Robson’s Ten Group Classification System: A Scoping Review

Abstract

The prevalence of caesarean section (CS) is rising rapidly. However, it should be carried out only under valid obstetric indications due to the various complications associated with it. Therefore, to record CS incidences, Robson's Ten Group Classification System (TGCS) was implemented. This review focuses on the prevalence of CS rates found in various studies and identifies the clinically important groups that were most involved in CS deliveries. Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Review (PRISMA-ScR) guidelines were followed in this review. "Caesarean delivery" OR "Robson's Ten Group" OR "Classification System" were keywords used to search literature. Twenty-one studies were included in this review based on eligibility criteria. We concluded that group 5 was the major contributing factor for the increase in CS rates followed by group 10, group 4, group 2, and group 1. Previous CS was the most common factor responsible for increasing CS rates. We emphasize that Robson's TGCS is an essential parameter for recording CS rates and is simple to use for CS rate comparison.

Factors Affecting Elective and Non-elective Cesarean Sections: A Multinomial Regression Analysis Using Robson’s Classification in a Southeast European Country

“…The cesarean section rates across Groups 3 and 4 illustrate how labor management and obstetric history influence delivery decisions, with spontaneous labor in multiparous women leading to significantly lower cesarean rates compared to those with induced labor or previous cesareans [ 25 ]. High cesarean rates in Groups 6 and 7 for breech presentations and in Groups 8, 9, and 10 for multiple pregnancies, abnormal lies, and preterm deliveries underscore a preference for cesarean delivery in managing complex or high-risk obstetric scenarios [ 26 ].…”

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

“…Maternal age was categorized into teenage pregnancy (<20 years) and advanced maternal age (> 36 years) [22,23]. Body Mass Index (BMI) was categorized according to the WHO classification as pre-obesity (BMI 25-30), obesity class I and II (BMI [30][31][32][33][34][35][36][37][38][39][40], and obesity class III (BMI >40) [24]. Ethnicity was self-reported by women.…”

“…However, by avoiding unnecessary cesarean sections in women without a history of previous cesarean deliveries, there will eventually be fewer cases falling into group 5 in subsequent years. Hence, efforts should also be directed towards preventing first-time CS, particularly among low-risk women [38,39]. The low use of instrumental assisted vaginal birth in Suriname (1%) indicates a potential for increased use of assisted vaginal birth as an intervention to reduce (second stage) CS in Suriname [14,40].…”