Analysis of Caesarean Section Rates Using the Robson Ten-group Classification at a Tertiary Care Teaching Hospital in Eastern India: A Cross-sectional Study
Introduction: The Robson ten-group classification identifies the women’s groups that make the greatest contribution to the overall rate of Caesarean Section (CS), and thereby helps to optimise CS rates. It also helps to ensure optimum maternal and perinatal outcomes. Aim: To examine the rates o...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2021-03-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://www.jcdr.net/articles/PDF/14676/46668_CE[Ra1]_F[SK]_PF1(AKA_KM_AT)_PN(KM).pdf |
Summary: | Introduction: The Robson ten-group classification identifies
the women’s groups that make the greatest contribution to the
overall rate of Caesarean Section (CS), and thereby helps to
optimise CS rates. It also helps to ensure optimum maternal
and perinatal outcomes.
Aim: To examine the rates of CS using the Robson ten-group
classification, and also to identify the women’s groups that
contribute most to CS rates in a tertiary care teaching and
referral hospital in Kolkata, India.
Materials and Methods: This cross-sectional observational study
was conducted over a period of one year from May 2012 to April
2013. All pregnant women admitted under the supervision of a
particular unit of the Department of Obstetrics and Gynaecology
and delivered in that hospital during the study period were
included. Necessary data collection was done on the following
parameters, i.e., previous obstetric history, category of pregnancy,
course of labour and delivery, and gestational age. The women
were categorised into the ten Robson groups. For each group, the
CS rate, relative size of the group, and the percentage contribution
made by the group to the overall CS rate were calculated and
expressed in percentages. Chi-square test, Z-test and the trial
version of Statistical Package for Social Sciences (SPSS) version
20.0 were used to analyse the data.
Results: The CS rate in the present study was 43.13% (735 out
of 1704 deliveries). Not only the largest group in terms of relative
size 649 (38.08%), the Robson group 1 had a CS rate of 41.75%
(271/649), as well as the largest absolute number of caesarean
deliveries. The group 1 made the largest contribution (271) to
the overall CS rate (15.9%). The group 5 was the second largest
contributing group 155 (9.09%), followed by group 3 96 (5.63%)
and group 2 69 (4.04%). In the present study group 5 showed
the CS rate of 95.67%, group 3 with CS rate of 24.48% and
group 2 with CS rate of 60.52%.
Conclusion: The Robson groups 1, 2, 3 and 5 were found to
be the major contributors to the overall CS rate. These groups
may be targeted for effective interventions to reduce the CS
rate. Active management of labour in a primigravida with
spontaneous onset, reduction of primary caesarean delivery,
promoting vaginal birth after CS, and careful assessment of
cases before induction of labour in nulliparous women, are likely
to be few effective strategies. |
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ISSN: | 2249-782X 0973-709X |