Analysis of caesarean deliveries using modified Robson classification, a retrospective observational study in a tertiary care teaching hospital in Southern India.

Authors: Anitha S, Sushmitha Laxmi Rao, Aishwarya E

DOI: 10.18231/j.ijogr.6146.1760331117

Keywords: Caesarean section, India, Robson classification, Previous caesarean section

Abstract: Background: The rate of Caesarean section deliveries is steadily increasing all over the world including India and is a cause of concern. It is important to identify and categorise the women into different categories as per Robson ten group classification system and the CS rate among them to try to decrease the CS rate. Aim: To find the frequency and indications for CS in our hospital and to analyse them according to Modified Robson ten group classification. Methods: This retrospective observational study was done in a tertiary care teaching hospital in Mangalore, Karnataka. Data was collected for women who delivered by CS from January, 2023 to June, 2023 and proportions in various groups according to Modified Robson ten group classification system was calculated. Results: A total of 522 deliveries were conducted in the study duration, of which 297 (56.896%) were by CS. Maximum women belonged to Group 1 which constituted 25.67% of the study population. The CS rates varied from 100% among women with breech presentation, abnormal lies and multiple pregnancies (Group 6, 7, 8 and 9) to 11.86 % in Group 3. Group 5 contributed maximum to the total number of CS (41.076%). Conclusion: In this study, women with breech presentation, abnormal lies and multiple pregnancies delivered by CS and repeat CS was the most significant contributor overall. TOLAC should be offered routinely to reduce CS rates. Similarly, appropriate selection of women for induction with induction protocols will help decrease primary CS.