How Referred Patients Influence Cesarean Sections Rate Pattern: Analysis according to the Robson Classification

Abstract

Objective: To improve the practice of cesarean section by analyzing the cesarean section according to Robson's classification. Methodology: This was a cross-sectional and descriptive study carried out at the University Hospital of Cocody. It covered the Cesarean sections performed during the year 2015 and ranked according to the 10 groups of Robson. Results: The overall Cesarean section rate in 2015 was 42.8% (3100 cesarean sections for 7229 deliveries). Group 1 was the largest contributor to overall Cesarean section with a rate of 20.5% followed by Group 3 (18.6%), Group 5 (16.4%) and Group 10 (12.2%), unlike other data in the literature where groups were in descending order Groups 5, 1, 3. This difference was driven by medical evacuations and our working conditions. Conclusion: The Cesarean section rate is constantly increasing in our department. Referred patients played a huge role in the distribution of C-section along the Robson's 10 groups classification.

Appropriateness, timeliness and perinatal outcomes of obstetric referrals managed by caesarean section: A prospective observational cohort study

“…A higher proportion of referred women ended up with emergency CS. The main reason is previous CS scar, aligning with findings from other studies 21,22 . As a predetermined risk, counselling during pregnancy and referral to a comprehensive EmONC facility before the onset of labour should be emphasized as a preventive aspect of risks associated with previous CS scars.…”

“…The main reason is previous CS scar, aligning with findings from other studies. 21,22 As a predetermined risk, counselling during pregnancy and referral to a comprehensive EmONC facility before the onset of labour should be emphasized as a preventive aspect of risks associated with previous CS scars. Obstructed labour further contributed substantially to CSs in the referral group.…”

Patients’ Lived Experiences of the Care Provided Before and After Caesarean Sections in the City of Tshwane, Gauteng, South Africa

“…The caesarean section rate in Tanzania increased from 19 per cent to 49 per cent in the decade leading up to 2013. In addition, Koffi et al (2017Koffi et al ( , 1134 found that emergency caesarean section rates had increased to 69.9 per cent in the total study population of hospitals situated in the Ivory Coast. Hoxha et al (2017, 1) argue that caesarean sections are performed more often in private hospitals for profit, as compared to those in public non-profit hospitals.…”

“…The World Health Organization (WHO 2015) states that caesarean section rates should not exceed 10 per cent to 15 per cent of the entire population in a country. According to Koffi et al (2017Koffi et al ( , 1137, the caesarean section rates at hospitals in Cairo, Egypt, were between 35.2 per cent and 52.1 per cent in 2014. The caesarean section rate in Tanzania increased from 19 per cent to 49 per cent in the decade leading up to 2013.…”

“…Should the mother request a normal vaginal delivery after a previous caesarean delivery, she must be given the opportunity. However, the mother should be informed about the risks involved (Koffi et al 2017(Koffi et al , 1134. According to the Guidelines for Maternity Care in South Africa (2015,56), a caesarean section may cause various complications such as sepsis, haemorrhage, injury to the bladder, and the formation of emboli.…”