AN EMERGING CONCEPT TO AUDIT THE INCREASING CESAREAN SECTION RATE THROUGH ROBSON CRITERIA IN TERTIARY CARE HOSPITAL MULTAN

  • Dr. Saima Mustafa Nishtar Medical University, Multan
  • Bushra Khan Nishtar Hospital Multan
  • Dr. Fariha Shaukat Nishtar Medical University, Multan
  • Dr. Syeda Ali Nishtar Medical University, Multan
  • Dr. Huma Quddusi Nishtar Medical University, Multan
Keywords: Robson’s Classification, Cesarean section rate.

Abstract

Abstract:

Cesarean section rate has been increasing worldwide and have caused a matter of concern because of its inherent complications and cost implications. World Health Organization recommends the use of ten group Robson classification as standard for critically assessing cesarean deliveries according to characteristics of pregnancy.

Objective: The main objective was to analyze cesarean section rate in tertiary care center according to modified ten group classification system (TGCS).

Design: The prospective study.

Settings: The study was conducted at Nishtar Medical University, Multan.

Material & Methods

All patient would delivered between January 2019 to December 2019 were included in this study. On the basis of obstetrical history women were classified in ten groups according to Robson classification. For each group cesarean section rate was calculated.

RESULTS:

Total number of deliveries in this study in one year was 5488. Out of them 2546 were delivered by cesarean section. The overall cesarean section rate was (31%). The main contribution to overall cesarean section rate was 792 (31.1%) by group 5 (previous cesarean section, singleton, cephalic, > 37 weeks) followed by 354 (13.7%) by group 2 (nulliparous, singleton cephalic ≥37 week induced labour or cesarean section before labour)  followed by 204 (7.95%) by group 4 (multiparous without previous cesarean section, singleton, cephalic > 37 weeks induced labour or cesarean section before labour). 112 (4.3%) was made by group 1 (nullipara, single cephalic >37weeks). 108 (4.2%) was made by group 10 (all singleton cephalic <37 weeks including previous cesarean section). 54 (2.1%) was made by group 6 (all nulliparous breech). 52 (2%) made by group 3 (multipara, single cephalic >37 weeks). 42 (1.6%) was made by group 8 (all multiple pregnancies). 38 (1.48%) was made by group 7 (all multiparous breech) in including previous cesarean section. 32 (1.2%) was group 9 (all abnormal lie) including previous section.

DISCUSSION

Cesarean Section rate in group 5 (31%) i.e was highest 792/2546 and with standardization of outcome, differences among groups can be explained. 

CONCLUSION

The Robson’s classification system is a simple and consistent easy tool to classify cesarean section. By regular implementation on regular obstetrical audit can have a great influence on reduction of cesarean section rate.

Published
2021-12-02
Section
Original Articles