Use of Modified Robson Criteria for an audit of Caesarean Section at a Tertiary Care Hospital

Abstract

Objective: To find out the incidence of C-Section rate and reducing it after auditing by use of Modified Robson Criteria. Methodology: This study was conducted by collecting data prospectively. All C-Sections were classified according to Modified Robson Criteria in 12 Groups after modification. Calculations were made as size of each group, rate of C-Section and contribution of each group. Audit of C-Section carried out after first six months, and then strategies were made to reduce the rate, which was implemented. Re-audit was carried out after six months, thus completing the audit cycle. Frequency and percentage were calculated by data analysis using Excel 2010 Result: C-Section rate was 51.54% initially then re-audit showed a reduced rate of 39.74%. Maximum contribution 26.05% to total C-Section rate was made by group 5 which was reduced to 20.04% in re-audit. While 11.48% was contributed by group12 which was reduced to 8.44% in re-audit. Conclusion: Modified Robson Criteria is an effective tool for the audit of C-section. It also allow us for exact identification of area for improvement and making modification of clinical practice to reduce C-Section rate Keywords: C-Section rate, Modified Rosbson Criteria, Clinical Audit and Re-Audit.