Robson’s Group 2 Criteria among Total Caesarean Sections in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Gautam, Pratigyan; Karki, Chanda; Adhikari, Asmita

doi:10.31729/jnma.7138

Cited by 4 publications

(6 citation statements)

References 8 publications

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“…While, several studies have identified Group 5 as the leading contributor to the cesarean section rate, [12][13][14] in this study, it is the second highest contributor. The cause of this high rate in this group is due to our practise of scheduling prelabor cesarean sectionfor all women with a prior cesarean sectionscar without attempting a trial of labor.…”

Section: Discussionmentioning

confidence: 65%

“…The most common indication for cesarean section in this group was fetal distress (34%) and prior cesarean section (33.2%). The high cesarean section rate in this group can be attributed to large number of high risk pregnancy referrals (such as fetal growth restrictions, preeclampsia and other pregnancy or medical complications) 12 that usually required preterm cesarean section.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of cesarean section using Robson’s criteria in tertiary care center

Gurung¹,

Malla²,

Lama³

et al. 2022

J Patan Acad Health Sci

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Introduction: This study aims to analyze all the women delivering in our institute according to the Robson’s classification. Robson’s ten group classification system (TGCS) endorsed by WHO, is a global standard tool for assessing, monitoring and comparing cesarean section rates at all levels. Method: This cross sectional study was conducted in the department of obstetrics and gynecology, Patan hospital, Patan academy of health sciences (PAHS), Lalitpur, Nepal over 12 months’ period. All women who delivered during this period were classified according to the Robson’s classification (TGCS) into a specific group. Relative size and overall cesarean section rate of each group were calculated. Result: A total of 4,985 cases were analyzed. The cesarean section rate was 57.7%. Group 1+2 represented nearly half (49%) of the obstetric population served during the study period. Group 2A was found to be the highest contributor (27.4%) followed by Group 5 (22.8%) and Group 1 (13.0%). In terms of indication for cesarean section -Fetal distress and previous cesarean section were found to be the most common indications. Similarly, nulliparous women were three to four times more likely to be delivered by cesarean section when labor was induced. Conclusion: From this study, we can conclude that for an effective reduction in the overall high cesarean section rate in our Institution, we need to focus on a more stringent protocol for inducing labor especially among nulliparous women and to practice evidence based guidelines. Redefining failed induction needs to be considered critically as well.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Analysis of cesarean section using Robson’s criteria in tertiary care center

Gurung¹,

Malla²,

Lama³

et al. 2022

J Patan Acad Health Sci

View full text Add to dashboard Cite

show abstract

“…Moreover, at present, cesarean section is felt by professionals and users alike to be commonplace, tending to become, in some countries, the most usual mode of childbirth (Sabatino, 2019). This should be considered deeply as cesarean section increases maternal morbidity and adverse outcomes in a subsequent pregnancy (Gautam et al, 2021).…”

Section: Consequences Of Cesarean Sectionmentioning

confidence: 99%

“…(Dong & Xie, 2021) Robson's classification provides an objective assessment of cesarean section practice (Zamané et al, 2018) Robson's classification is used to optimize the use of cesarean sections, to evaluate strategies to reduce the cesarean section rate, and thus to improve clinical practice and quality of care in different health facilities. (Gautam et al 2021) The Robson classification is becoming a valuable tool for monitoring cesarean sections in countries with low human development indexes. (Tapia et al, 2016) The Robson ten-group classification system is essential for identifying and analyzing contributors to the cesarean section rate.…”

Section: The Importance Of the Robson Classification References Of Sc...mentioning

confidence: 99%

“…Indeed, the WHO proposes introducing a system for reviewing the indications for cesarean sections in maternity units by generalizing this 10-group cesarean classification system and adopting it in maternity units as a quality tool (WHO, 2015). Improved case selection, standardization, induction protocol, and regular audits could reduce cesarean section rates (Gautam, 2021). Also, adopting the Robson classification of cesareans could help reduce the overall rate of cesarean sections (Boatin et al, 2017).…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

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Why is the implementation of Robson’s classification required in Morocco?

Chrifi,

Boudallaa,

Assarag

et al. 2023

E3S Web Conf.

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In Morocco, the Ministry of Health has mobilized several efforts to improve maternal and newborn health over the past decades. Despite progress, the high risk of death during pregnancy, childbirth, and postnatal is still a concern. Obstetricians highly regard this and require them to undertake ongoing research to promote optimal pregnancy and birth outcomes. Medical techniques such as cesarean section have led to significant progress. However, the frequency of cesarean sections has increased recently, despite World Health Organisation (WHO) recommendations to stay within 15%. Controlling the rate of cesarean sections has become a significant public health concern, given the risk of morbidity and mortality associated with cesarean sections and the associated costs. Through a review of the literature, this research interprets and analyses the relevant data to highlight the contribution of Robson’s classification to controlling C-section indications and, consequently, their rates. Indeed, several original scientific studies recommend its adoption because of its objectivity and contribution to the effective reduction of cesarean section rates. Finally, as a main recommendation, the adoption of Robson’s classification in Morocco as a simple tool for evaluation, monitoring, and audit of cesarean section rates and its use is strongly recommended for better control of cesarean section rates and indications. The training of practitioners should support it.

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Role of prophylactic use of tranexamic acid in reducing blood loss during caesarean section in a tertiary care hospital

Gopalan,

Mathumitha

2023

IJOGR

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Postpartum Haemorrhage (PPH) is an important cause of maternal death and severe maternal morbidity. Compared to vaginal delivery, women undergoing caesarean delivery incur the highest risk of PPH and haemorrhage related morbidity. Furthermore, evidence suggests that PPH during caesarean delivery is occurring more frequently. To study the effect of low dose intravenous tranexamic acid in reducing blood loss during Caesarean section.: This randomized control trial among 50 antenatal women aged >18 years undergoing Lower segment caesarean section in tertiary care centre. They were divided into Study group and control group. Study group received 1gm iv tranexamic acid and the Control group did not receive tranexamic acid. Data was entered in Microsoft Excel data sheet (MS-Excel) and analysed using commercially available SPSS 23 software package. MS Excel and MS word was used to obtain various types of graphs such as bar diagram. : Among the study population who underwent Lower section caesarean section in our study, we found that the requirement of additional oxytocin was nil with tranexamic acid group (p value<0.02). There were no side effects observed with the group administered tranexamic acid (p value<0.01). The difference in mean of bleeding from placental delivery to end of Caesarean Section, End of Caesarean Section to 2 hrs Postpartum was statistically significant (p value <0.05). The fall in Hb% between the two groups was significant, thereby showing the benefits of Tranexamic acid.: Tranexamic acid significantly reduces the amount of blood loss during and after lower segment caesarean section. It was not associated with any significant side effects and complications. It can be used effectively in all women undergoing caesarean section to reduce the postpartum Haemorrhage thereby reducing the maternal morbidity and mortality.

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Robson’s Group 2 Criteria among Total Caesarean Sections in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Cited by 4 publications

References 8 publications

Analysis of cesarean section using Robson’s criteria in tertiary care center

Analysis of cesarean section using Robson’s criteria in tertiary care center

Why is the implementation of Robson’s classification required in Morocco?

Role of prophylactic use of tranexamic acid in reducing blood loss during caesarean section in a tertiary care hospital

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