The modified Robson criteria for caesarean section audit at MCH Center PIMS Islamabad

Gilani, Sidra; Mazhar, Syeda Batool; Zafar, Majida; Mazhar, Tayyaba

doi:10.5455/jpma.293708

Cited by 12 publications

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“…12 Our CS rate was lower than the study at PIMS Hospital Islamabad (80.3%). 13 Our CS rate of Group-5 was much lower than studies carried out at Peru (81%) 14 and Ghana (71%). 15 The variation in CS rates in different hospitals must be due to different approaches, expertise available, common risk factor, facilities available and interpretation of findings.…”

Section: A H E a D O F P R I N Tcontrasting

confidence: 63%

To evaluate rising caesarean section rate and factors contributing to it by using Modified Robson’s Criteria at a tertiary care hospital

Shaikh¹,

Kulsoom²,

Fatima³

et al. 2022

Pak J Med Sci

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Objectives: To determine the frequency of caesarean section with its indication by grouping according to Modified Robson’s Criteria at JPMC. Methods: This is a retrospective study done from 1st January to 30th June 2018. Records of all Caesarean Section performed during the study period were retrieved from elective and emergency operation theatres. Data was extracted from the emergency and elective Theatres registers. and entered in study proforma. Patients with missing data were contacted via a given phone number on file and data collected. None of the Patients Data was totally missing ,as all entries made were done very carefully .Data was entered in SPSS version 26.0. Group-11 and 12 were added in order to identify the main reason for the increase in caesarean sections. Results: Total number of deliveries in six months were 3400. Our study showed a Caesarean Section rate of 36.5 per all live births. The major group contributing was Group-5 (56%). Foetal distress (Group-12) and Primigravida with Inductions or caesarean section before labour (Group-2) showed nearly the same percentages 13.5% and 14% respectively. Conclusions: Planning of the caesarean section of primigravida should be carefully decided. The role of safe VBAC plays the key role in decreasing Cesarean Section rate. Moreover, foetal distress and caesareans in Primigravida should be evaluated with great accuracy to decrease the caesarean section rate. LIST OF ABBREVIATIONS:CS: Caesarean Section, VBAC: Vaginal Birth After Caesarean, SD: Standard Deviation, χ2: Chi-Square. doi: https://doi.org/10.12669/pjms.38.7.5983 How to cite this:Majid E, Kulsoom S, Fatima S, Zuberi BF. To evaluate rising caesarean section rate and factors contributing to it by using Modified Robson’s Criteria at a tertiary care hospital. Pak J Med Sci. 2022;38(7):---------. doi: https://doi.org/10.12669/pjms.38.7.5983 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: A H E a D O F P R I N Tcontrasting

confidence: 63%

To evaluate rising caesarean section rate and factors contributing to it by using Modified Robson’s Criteria at a tertiary care hospital

Shaikh¹,

Kulsoom²,

Fatima³

et al. 2022

Pak J Med Sci

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“…Our findings are in keeping with studies in tertiary hospitals in India and Pakistan in which a majority of the pregnant women who had a CS were those in Group 5. [ 20 21 ] Similarly, the secondary analysis of two WHO multi-country surveys in 2015 revealed that in countries with low Human Development Index like Nigeria, women in Group 5 had the highest caesarean rate. [ 22 ] However, a study in Egypt that analysed the CSR using the standard 10-Group Robson classification system revealed that women in Groups 5, 6, and 10 had the highest caesarean rates.…”

Section: Discussionmentioning

confidence: 99%

Utilizing the Robson 10-Group Classification System as an Audit Tool in Assessing the Soaring Caesarean Section Rates in Ibadan, Nigeria

Agboola

Bello

2022

Journal of West African College of Surgeons

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Background: The caesarean section (CS) is the most common operation performed globally with increased incidence worldwide. Aim and Objectives: Using the Robson 10-Group Classification System (RTGCS), we aimed to identify women who were the main contributors to the high CS rate (CSR) over a 3-year period at a foremost tertiary health facility. Settings: This study was conducted at the Department of Obstetrics and Gynecology, University College Hospital, Ibadan, Nigeria. Materials and Methods: This study is a retrospective study of all women who delivered by CS at the University College Hospital, Ibadan, Nigeria from January 2017 to December 2019. Data were obtained using a structured proforma and women were categorized according to the RTGCS. Data were analysed using SPSS version 21. Descriptive statistics (frequency, percentage, mean) carried out were presented in tables. Results: The CSR was 46.9%. Women in Group 5 (parous women >37 weeks with previous CS and a single foetus in cephalic presentation), Group 1 (nulliparous women >37 weeks with a single foetus in cephalic presentation and spontaneous labour), and Group 10 (women <37 weeks with a single foetus in cephalic presentation) were major contributors to the CSR, with 30.9%, 17.7%, and 13.7%, respectively. Stillbirth rates were highest in Groups 10 (30.3%), 3 (24.4%), and 8 (16.8%). Apgar score <7 at the 5th minute was highest in Groups 5 (29.7%), 10 (17%), and 1 (16.6%). Conclusion: In a bid to reduce caesarean deliveries, efforts should focus on increasing the proportion of vaginal deliveries in these identified groups, especially in women with a history of one CS.

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“…Different to our findings, Khan MA et al 11 in another local research observed Group-5 and Group-2 to be the most common. Gilani S et al 18 found Group-, Group-5 and Group-1 to be the commonest groups showing 30.7%, 17.1% and 21.4% cases respectively. Dhodapkar SB et al 19 from India was found to have Group-1, Group-5 and Group-2 as the most prevalent groups accounting for 33.3%, 19.7% and 14.6% cases respectively.…”

Section: Methodsmentioning

confidence: 95%

Analysis of Cesarean Sections using Robson’s Ten Group Classification System

et al. 2021

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Objective: To analyze trends of CSs and evaluating them according to Robson’s Ten Groups Classification System (TGCS) at a leading government tertiary care hospital of South Punjab, Pakistan. Methods: This cross-sectional study was conducted at Department of Obstetrics and Gynaecology, Nishtar Medical University Hospital, Multan Pakistan, from October 2019 to March 2020.The study population included a total of 167 women who underwent CS in the hospital during the specified study period. For each case, we collected data regarding maternal characteristics and pregnancy-related information. The dependent variable was Robson classification group. Results: Overall, mean age was 26.53+5.1 years. Majority of the women, 116 (69.5%) belonged to urban areas of residence, 74 (44.3%) gestational aged between 37-42 years while 108 (64.7%) had history of cesarean section. Most of the patients, 85 (50.9%) turned out to be from TGCS Group-10. Group-5 and Group-1 were the 2nd and 3rd most common group, accounted for 24 (14.4%) and 19 (11.4%) cases respectively. Previous cesarean section (20.4%) and fetal distress (19.8%) were found to be most common indications leading to cesarean section. Conclusion: As per Robson’s Ten-Group Classification, Group-10 and Group-5 were found to be the most contributing among deliveries done. Previous cesarean section and fetal distress were the most common indications of cesarean section. doi: https://doi.org/10.12669/pjms.37.2.3823 How to cite this:Parveen R, Khakwani M, Naz A, Bhatti R. Analysis of Cesarean Sections using Robson’s Ten Group Classification System. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3823 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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The modified Robson criteria for caesarean section audit at MCH Center PIMS Islamabad

Cited by 12 publications

References 0 publications

To evaluate rising caesarean section rate and factors contributing to it by using Modified Robson’s Criteria at a tertiary care hospital

To evaluate rising caesarean section rate and factors contributing to it by using Modified Robson’s Criteria at a tertiary care hospital

Utilizing the Robson 10-Group Classification System as an Audit Tool in Assessing the Soaring Caesarean Section Rates in Ibadan, Nigeria

Analysis of Cesarean Sections using Robson’s Ten Group Classification System

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