European Journal of Molecular & Clinical Medicine

Abstract

Caesarean section rate is increasing in the world, including India (28.1% according to Indian Council of Medical Research).¹ Because of this rising trends in caesarean section rate, World Health Organization recommends to conduct institutional audits to reduce C-section rate using Robson's ten group classification system, thus postulating the institutional protocols to reduce the C-section rate.
Objectives of the study are todescribe various indications of C-section as per Robson criteria ten group classification in our institute and to identify modifiable factors to reduce C-section rate in our institute.
Method: A record based study was conducted over a period of 12 months (July 2019 to June 2020) among the women who delivered through C-section in a government tertiary care centre, Mandya.All women who underwent C-section were classified according to Robson 10 group classification.
Results:  Out of total 7738 women delivered during study period, 3207 women (41.1%) underwent C-section. Largest contribution to the total C-section rate was group 5, 1329(41.1%) women underwent C-section. Second largest group was group 2 (nulliparous, induced or C-section before labour) contributing to 23.4% to overall C-section rates. Modifiable indications identified were failed induction (53.2%) in group 2, failure to progress (40.1%) in group1 and repeat C-section (group 5).