Analysis of Caesarean Section Rate According To The 10 Group Robson Classification in Zagazig University Hospital
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 3, Pages 2708-2715
AbstractBackground: 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.
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