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. 2021 Mar-Apr;37(2):567-571.
doi: 10.12669/pjms.37.2.3823.

Analysis of Cesarean Sections using Robson's Ten Group Classification System

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Analysis of Cesarean Sections using Robson's Ten Group Classification System

Rashida Parveen et al. Pak J Med Sci. 2021 Mar-Apr.

Abstract

Objective: To analyze trends of CSs and evaluating them according to Robson's Ten Groups Classification System (TGCS) at a leading government tertiary care hospital of South Punjab, Pakistan.

Methods: This cross-sectional study was conducted at Department of Obstetrics and Gynaecology, Nishtar Medical University Hospital, Multan Pakistan, from October 2019 to March 2020.The study population included a total of 167 women who underwent CS in the hospital during the specified study period. For each case, we collected data regarding maternal characteristics and pregnancy-related information. The dependent variable was Robson classification group.

Results: Overall, mean age was 26.53+5.1 years. Majority of the women, 116 (69.5%) belonged to urban areas of residence, 74 (44.3%) gestational aged between 37-42 years while 108 (64.7%) had history of cesarean section. Most of the patients, 85 (50.9%) turned out to be from TGCS Group-10. Group-5 and Group-1 were the 2nd and 3rd most common group, accounted for 24 (14.4%) and 19 (11.4%) cases respectively. Previous cesarean section (20.4%) and fetal distress (19.8%) were found to be most common indications leading to cesarean section.

Conclusion: As per Robson's Ten-Group Classification, Group-10 and Group-5 were found to be the most contributing among deliveries done. Previous cesarean section and fetal distress were the most common indications of cesarean section.

Keywords: Cesarean section; Fetal distress; Robson’s Ten-Group Classification.

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Conflict of interest statement

Conflict of Interest: None.

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References

    1. Betran AP, Ye J, Moller AB, Zhang J, Gulmezoglu AM, Torloni MR. The increasing trend in caesarean section rates:global, regional and national estimates:1990-2014. PLoS One. 2016;11:e0148343. doi:10.1371/journal.pone.0148343. - PMC - PubMed
    1. Ye J, Zhang J, Mikolajczyk R, Rorloni MR, Gulmezoglu Am, Betran AP. Association between rates of caesarean section and maternal and neonatal mortality in the 21st century:a worldwide population-based ecological study with longitudinal data. BJOG. 2016;123(5):745–753. doi:10.1111/1471-0528.13592. - PMC - PubMed
    1. Torloni MR, Betran AP, Souza JP, Widmer M, Allen T, Gulmezoglu M, et al. Classifications for cesarean section:a systematic review. PloS One. 2011;6:e14566. doi:10.1371/journal.pone.0014566. - PMC - PubMed
    1. Mumtaz S, Bahk J, Khang YH. Rising trends and inequalities in cesarean section rates in Pakistan:Evidence from Pakistan Demographic and Health Surveys 1990-2013. PLoS One. 2017;12(10):e0186563. Published 2017 Oct 17. doi:10.1371/journal.pone.0186563. - PMC - PubMed
    1. Rafiei M, Saei Ghare M, Akbari M, Kiani F, Sayehmiri F, Sayehmiri K, et al. Prevalence, causes, and complications of cesarean delivery in Iran:A systematic review and meta-analysis. Int J Reprod Biomed. 2018;16(4):221–234. - PMC - PubMed

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