Evaluation of Cesarean Section Rate by Means of Robson’s 10 Group Classification in a Tertiary Care Centre

Article Type: Original Article
Authors: Sahana Girish, R Nagarathnamma


Introduction: Cesarean section [CS] rates are growing globally and have caused concerns. WHO suggests using the 10-Group Robson classification as the worldwide standard for evaluating CS rates to allow for meaningful comparisons. Aim and Objectives: To assess the proportionate contributions in all 10 Groups to the overall CS rate and to find modifiable factors for reducing CS rates. Materials and Methods: This particular retrospective analysis was conducted at Bengaluru, South India’s Rajarajeshwari Medical College, a tertiary teaching hospital. The information was gathered for females delivered via CS between October 2017 to September 2018, and proportions in the different groups were computed by Robson’s TGCS 10-Group Classification System. All the data were entered in SPSS version 20.0 for analysis. Results: During study period, a total 1,784 females gave birth, 798 of them were delivered via CS. The calculated CS rate for our institution was 44.73% overall. Females with prior CS [Group 5] contributed the most (37.59%) to total number of CS.VBAC constituted only 1% and repeat CS rates were very high which was 300 (99%), out of which 274 [91.41%] were previous 1 CS followed by 25 [8.25%] previous 2 CS and 1 [0.33%] previous 3 CS. Group 2 women contributed 21.55% of the overall CS. The percentage of women with CS in different groups ranged from 100% in Group 9 (women with abnormal lies) to 11.40% in Group 3 (multiparous females with spontaneous labor and single cephalic pregnancy).

Keywords: Groups 5, 2 and 1 were discovered to be the primary drivers of overall CS
Issue Number: Issue - 3   September - December 2022
Pages: 97 - 138
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