Analysis of Cesarean Sections According to Robson Ten Group Classification in a Private Tertiary Care Hospital, Lahore

Seema Hasnain; Afshan Ambreen; Misbah Jehangir Kashmiri; Sobia Sadaf Sadaf

doi:10.71104/jsogp.v15i2.862

Seema Hasnain FMH College of Medicine and Dentistry
Afshan Ambreen Professor/ Head of Department Obstetrics& Gynecology FMH College of Medicine and Dentistry, Shadman, Lahore.
Misbah Jehangir Kashmiri Assistant professor, Community Medicine FMH College of Medicine and Dentistry, Shadman, Lahore.
Sobia Sadaf Sadaf

DOI: https://doi.org/10.71104/jsogp.v15i2.862

Keywords: Cesarean section, Robson classification

Abstract

Objective: To determine the frequency of Cesarean -sections and categorize them according to Robsonâ€™s Ten Groups Classification System (TGCS) to regularly audit Casern section (CS) rates and provide feedback to obstetric teams to ensure quality improvement in Obstetrics and Gynecology Department of a private tertiary care hospital, Lahore.

Methodology: A descriptive cross-sectional study was conducted in the Obstetric Department of a private hospital, Lahore from April to June 2024, included all women who delivered after 28 weeks of gestation either vaginally or by CS. Outcome variable was rate of C- section in all groups of Robson 10 classification. Independent variables were age, educational status and occupation with Robson Classification Group as dependent variable. A pretested questionnaire collected sociodemographic data and classified patients into Robson10 groups.

Results: The total deliveries reported during three months were 568, out of which, 376 (66.1%) were Caesarean sections with the highest rate in group 5 (n=143, 38.03%) followed by group 2 (n=85,22.60 %) and group -10 (n=84, 22.34%) whereas groups 3,6,7,8, & 9 had contributed less than 2%.

Conclusion A notably high rate of CS was depicted in group 5,2 and 10. Out of total 568 deliveries ,376(66.1%) were C-sections with the rates from highest to lowest in group5(38.08%), group 2(22.60%) and group 10(22.34%) respectively whereas group 3,6,7,8&9 had contributed less than 2%.