Online ISSN: 2515-8260

Keywords : Cesarean


Analysis of Caesarean Section Rate According To The 10 Group Robson Classification in Zagazig University Hospital

Emad Mohammad Ahmad Hassan

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2708-2715

Background: Increase rate of unnecessary caesarean sections has been a growing concern in the world. WHO proposed the Robson classification system as a global standard for assessing , monitoring and comparing caesarean section rates within healthcare facilities overtime and between facilities. Aim: To assess and analyze Cesarean Section Rate (CSR) of Zagazig university hospital over the period of six months using the 10 Group Robson classification system .
Patients & methods: This prospective cross sectional study was carried out in the Department of Obstetrics & Gynecology at Zagazig University Hospitals, Zagazig, Sharkia, Egypt, from January 2019 till June 2019. All women admitted for delivery were classified using Robson classification .
Results: 2333 women were admitted for delivery. 854 (36.6%) gave birth by vaginal delivery while 1479(63.4%) by CS. Women classified into Group 5 made the greatest contribution to the overall CS rate (53.2 % relative contribution). The second highest contributors were Women in Group 10, (10.2% relative contribution) to the overall CS rate. Women in group 2 made the 3rd largest contribution (8.9 % relative contribution to the overall CS rate. Then groups 4 ,7 ,8 , 6, 1 , 3 , 9 by relative contribution 8.5 % ,4.2 % , 3.9 % , 3.6 % , 3.5 % , 2.8 % , 0.8 % respectively.
Conclusion: Robson Groups 5, 10, and 2 were identified as the main contributors to the overall CS rate at our hospital.The most common indication of performing Cesarean Section was previous CS. Robson classification can be incorporated successfully into the routine maternal and perinatal data collection system to improve the monitoring and evaluation of caesarean section rate.

Arteriovenous Malformation Pulmonary (AVM) in a Post-Cesarean Woman: Intensive Care and Urgent Surgery Operation

Francesco Oliveri; Christian Bonsignore; Ilenia Musumeci; Paolo Murabito; Stefano Scollo; Valeria La Rosa; Alberto Terminella; Giacomo Cusumano; Vito Sofia; Marinella Astuto

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 46-50

The AVM is a rare congenital disease that often affects the brain and only rarely we find in other organs. In this pathology there is an alteration of the vascular system, with the arteries discharging directly into the veins, bypassing the capillary system; this puts the patient at high risk of sudden hemorrhage. Today we present the case of a young woman suffering from unknown pulmonary avm. The breakdown of this avm caused a hemothorax in the immediate post-cesarean, necessitating emergency surgery and subsequent intensive care.