Use of the Robson classification to assess cesarean section at a medical college hospital in Gujarat, India
Background: The increasing trends for cesarean section (CS) is not only in India but also globally have been a cause of concern. With the aim of comparing and analyzing CS rates worldwide, the WHO suggests Robson’s ten-group classification system (TGCS). Aims and Objectives: To find the group of...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2022-08-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/44293 |
| _version_ | 1811220151799906304 |
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| author | Ashutosh Jogia Krishna A Mehta |
| author_facet | Ashutosh Jogia Krishna A Mehta |
| author_sort | Ashutosh Jogia |
| collection | DOAJ |
| description | Background: The increasing trends for cesarean section (CS) is not only in India but also globally have been a cause of concern. With the aim of comparing and analyzing CS rates worldwide, the WHO suggests Robson’s ten-group classification system (TGCS).
Aims and Objectives: To find the group of women with High CS rate. Which will help policymakers to target that specific groups of women for the reduction of overall CS.
Materials and Methods: This was a retrospective study design using hospital records for women delivered between December 1, 2020, and November 30, 2021. Data were entered and analyzed using Excel 2019 and presented in percentages after using Robson’s TGCS.
Results: Out of total 5514 women delivered during the study period, 2262 (41.02%) were delivered by CS. Group 1 and Group 2 included a total of 41.49% of women in the present study. The high CS rates were in Group 9 (abnormal lie) – 100%, Group 5 (previous CS) – 97.35%, and Group 6 (breech, nulliparous) – 77.47%. In all CS, the maximum contribution was done by Group 5 (37.36%) and Group 2 (28.47%).
Conclusions: The result indicates that Group 5 women with previous CS and Group 2 women with induced labor contributed the maximum to overall CS rates. Trial of labor after CS should be used as a routine. The specific guideline should be followed about the time and cause for induction of labor to decrease the CS rate that occurs due to failed inductions. To monitor CS rate and take actions accordingly, Robson’s TGCS should be used in all health facilities where delivery is done. |
| first_indexed | 2024-04-12T07:38:02Z |
| format | Article |
| id | doaj.art-740291a3278d4605991721345fb9e6fe |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-12T07:38:02Z |
| publishDate | 2022-08-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-740291a3278d4605991721345fb9e6fe2022-12-22T03:41:54ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-08-01138202207https://doi.org/10.3126/ajms.v13i8.44293Use of the Robson classification to assess cesarean section at a medical college hospital in Gujarat, IndiaAshutosh Jogia 0https://orcid.org/0000-0003-3922-7803Krishna A Mehta 1https://orcid.org/0000-0002-2127-8330Assistant Professor, Department of Community Medicine, GMERS Medical College, Gandhinagar, Gujarat, India Assistant Professor, Department of Obstetrics and Gynecology, GMERS Medical College,Junagadh, Gujarat, India Background: The increasing trends for cesarean section (CS) is not only in India but also globally have been a cause of concern. With the aim of comparing and analyzing CS rates worldwide, the WHO suggests Robson’s ten-group classification system (TGCS). Aims and Objectives: To find the group of women with High CS rate. Which will help policymakers to target that specific groups of women for the reduction of overall CS. Materials and Methods: This was a retrospective study design using hospital records for women delivered between December 1, 2020, and November 30, 2021. Data were entered and analyzed using Excel 2019 and presented in percentages after using Robson’s TGCS. Results: Out of total 5514 women delivered during the study period, 2262 (41.02%) were delivered by CS. Group 1 and Group 2 included a total of 41.49% of women in the present study. The high CS rates were in Group 9 (abnormal lie) – 100%, Group 5 (previous CS) – 97.35%, and Group 6 (breech, nulliparous) – 77.47%. In all CS, the maximum contribution was done by Group 5 (37.36%) and Group 2 (28.47%). Conclusions: The result indicates that Group 5 women with previous CS and Group 2 women with induced labor contributed the maximum to overall CS rates. Trial of labor after CS should be used as a routine. The specific guideline should be followed about the time and cause for induction of labor to decrease the CS rate that occurs due to failed inductions. To monitor CS rate and take actions accordingly, Robson’s TGCS should be used in all health facilities where delivery is done.https://www.nepjol.info/index.php/AJMS/article/view/44293cesarean section; india; induction of labor; previous cesarean section; robson’s classification |
| spellingShingle | Ashutosh Jogia Krishna A Mehta Use of the Robson classification to assess cesarean section at a medical college hospital in Gujarat, India Asian Journal of Medical Sciences cesarean section; india; induction of labor; previous cesarean section; robson’s classification |
| title | Use of the Robson classification to assess cesarean section at a medical college hospital in Gujarat, India |
| title_full | Use of the Robson classification to assess cesarean section at a medical college hospital in Gujarat, India |
| title_fullStr | Use of the Robson classification to assess cesarean section at a medical college hospital in Gujarat, India |
| title_full_unstemmed | Use of the Robson classification to assess cesarean section at a medical college hospital in Gujarat, India |
| title_short | Use of the Robson classification to assess cesarean section at a medical college hospital in Gujarat, India |
| title_sort | use of the robson classification to assess cesarean section at a medical college hospital in gujarat india |
| topic | cesarean section; india; induction of labor; previous cesarean section; robson’s classification |
| url | https://www.nepjol.info/index.php/AJMS/article/view/44293 |
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