Assessing cesarean section trends in a tertiary care teaching hospital using robson’s ten group classification
Keywords:Caesarean section,partogram,labor, Robson 10 group classification
Background: Rising caesarean section rates are a matter of great concern for all.In order to understand the reasons and take measures to reduce this WHO has suggested that all health care facilities should do periodical audit of their institutional caesarean sections using the Robson's ten group classification. This classification helps to identify which group of patients and indications are contributing maximum to the caesarean sections in the institute and what measures can be taken to reduce the rate in each group.Aim: When we study each group and its contribution to cesarean section rates we can formulate guidelines to reduce the rates.Methods: This is a retrospective cross sectional study conducted for a period of 1 year at a tertiary care medical college hospital in Chhattisgarh.All women who delivered here in between December 2019 to November 2020 were included in study these were classified into 10 groups according to Robsons 10 group classification and caesarean delivery rates were calculated in each category and analysed. Contribution of each group to overall caesarean section rate and caesarean percentage in each group was calculated.Results: Out of total of 1586 women who delivered during the study period 972 women had undergone caesarean section with an overall C section rate of 61.2 %.in our hospital. Group 5 contributed to highest C-sections followed by group 2 and 1.Together these 3 groups contributed to 75% of CS rates. Groups 6,7 and 9 did not contribute much to overall C-sections but CS rates in this group of patients is above 90% reaching close to 100% in group 6. Conclusion: Robson 10 group classification provides for an easy, simple way of collecting and comparing information about C section rates in an institution. detailed analysis of each groups can help to detect causes of increased CS rates in each group at our institution .measures to reduce CS rates can be reducing primary C-sections,increasing VBAC in previous section cases, judicious use of ECV, partogram,EFM and modification in criteria for non-progress of labor,Fetal distress can all contribute to reduce CS rates.
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Copyright (c) 2021 Meena Naik, Shweta Rani, Rekha Ratnani
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