Analysis of Caesarean Sections Using Robson 10 Group Classification System

Khadija Waheed; Amna Ahsan; Sidrat-Ul- Muntaha; Huma Tahseen; Shabana Khokhar; Hafiza Naveeda Khurshid

Khadija Waheed Associate Professor, Obs & Gynae department, Fatima Jinnah Medical University Lahore
Amna Ahsan Associate Professor, Obs & Gynae department, Fatima Jinnah Medical University Lahore
Sidrat-Ul- Muntaha Senior Resident, Obs & Gynae department, King Edward Medical University Lahore
Huma Tahseen Associate Professor, Obs & Gynae department, Azra Naheed Medical College, Lahore
Shabana Khokhar Associate Professor Rahbar Medical and Dental College, Lahore
Hafiza Naveeda Khurshid Assisstant professor Gynae &Obs Azra Naheed medical college Lahore

Keywords: Robson 10 group classification system

Abstract

Objective: To determine the frequency of deliveries conducted and different Robson 10 group classification system in patients who undergo lower segment cesarean section in patients presenting in labour at term.

Methodology: The descriptive cross-sectional study was carried out at Department of Obstetrics & Gynecology, Lady Aitchison Hospital, Lahore, from August 2021 to February 2022. Women aged 18 to 40 years with parity of less than 5, presenting after 37 weeks of gestation were included. Informed consent and demographic information (name, age, parity, gestational age & BMI) was obtained. Then females were followed-up till delivery. All pertinent information, including mode of delivery, Robson 10 group classification, and other relevant data, was documented using a standardized proforma. Data was entered and analyzed in SPSS version 20.

Results: Mean age of patients included in this study was 26.70Â±3.73 years. Cesarean section was done in 48 (24.00%) and vaginal delivery was occurred in 152 (76.00%) patients. On frequency of Robson 10 group, 33 (16.5%) patients were found had Robson group 1, 25 (12.5%) had Robson group 2, 31 (15.5%) had Robson group 3, 34 (17.0%) had Robson group 4, 17 (8.5%) had Robson group 5, 08 (4.0%) had Robson group 6, 08 (4.0%) had Robson group 7, 13 (6.5%) had Robson group 8, 13 (6.5%) had Robson group 9 and 18 (9.0%) had Robson group 10. There was strong association of Robson 10 group with cesarean section (p-value <0.001).

Conclusion: Robson 10 group classification is a reliable tool for predicting the CS rates. The Robson 10 group was the leading contributor to the overall CS rate.