Analysis of C-Section According to Robson Criteria of C-section

Abstract

Objective: To analyze the caesarian section deliveries according to Robson criteria of C-section in our setup.

Setting and Duration of Study: This cross-sectional study was conducted in the department of Obstetrics and Gynecology Combined Military Hospital, Muzaffarabad in a period of one year from Jan 2022 to January 2023.

Methodology: All the CS deliveries were included in this study. Preterm, normal or instrumental and vaginally delivered patients were excluded. Demographic information and data related to pregnancy and delivery of the patients was noted. Information on fetal outcomes and maternal complications was noted on a predesigned performa. All these cesarean deliveries were categorized in 10 groups using Robson’s Ten Group Classification System.

Results: The mean age was 30.67 ± 4.366 years and mean gestational age was 38.44 ± 1.161 weeks. Majority (93.79%) of the women delivered on term (37-40 weeks). Majority (59.66%) of the women belonged to multipara (1-4) group and 139 (47.93%) women had history of previous C-section delivery. Highest number 132 (45.5%) of caesarian delivery participants belonged to fifth group G5 of the Robson’s Ten group classification, followed by 65 (22.4%) in 2nd group (G2) and 28 (9.7%) in 1st group (G1). The mean birth weight of the babies was 3.225 ± 0.414 kg and mean APGAR Score at 5 minutes was 7.84 ± 0.753. Most 260 (89.7%) of the babies delivered by these women did not require NICU admission.

Conclusions: Robson's Ten-Group Classification revealed that Group-5, Group-2, and Group-1 were the most frequently occurring contributing groups among these caesarian deliveries. Robson's Ten-Group Classification is an easy and practical system that may be successfully used in any situation.