Trends of caesarean section deliveries in a tertiary hospital of North India using Robson classification

• Author Details:   
• Tripta Kumari
• Dinesh Kumar
• Bhavna Sahni
• Parikh Rana
• Kiran Bala* ^*

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Background: Caesarean sections without clinical indication have warranted the World Health Organization (WHO) and Government authority to develop measures concerning the regulation of caesarean section in the absence of a clinical indication. Robson Ten Group classification is one of them which classify CSs in ten groups based on various pregnancy classifications.

Aims: To assess the trends in Caesarean Section rates in women attending mother and child hospital using Robson’s classification.

Methodology:  A record-based study was conducted for a duration of 12 months where the data of 2560 females who delivered during the study period was used to assess trends in cesarean section rates by classifying them into ten groups by Robson classification. Calculations were done as per Robson’s classification manual. The rates of cesarean section were calculated by using Robson manual.

Results: Group 1 had the highest number of deliveries (31.7%), followed by Group 3 (25.5%) and Group 5 (17.5%). Group 9 (100%), Group 5 (97%) and Group 2 (90%) were the main contributors of cesarean section.

Conclusions: Higher rates in our study emphasized the need to screen women properly for sections.

Keywords: Robson’s ten group classification, Caesarean section, Absolute contribution, Group size.