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. 2021 Oct 22;26(6):500-507.
doi: 10.4103/ijnmr.IJNMR_230_19. eCollection 2021 Nov-Dec.

Comparison of Maternal-Infant Attachment in Cesarean Delivery Based on Robson Classification: A Cross-Sectional Study

Zohreh Rookesh  1 , Maasumeh Kaviani  2 , Mahnaz Zarshenas  3 , Marzieh Akbarzadeh  4
Affiliations

Comparison of Maternal-Infant Attachment in Cesarean Delivery Based on Robson Classification: A Cross-Sectional Study

Zohreh Rookesh et al. Iran J Nurs Midwifery Res. .

Abstract

Background: The Robson criteria allows for standardized comparisons of data and possible driving changes in Cesarean Section (C/S) rates and complications. The aimed to compare maternal-infant attachment in C/S based on Robson Classification.

Materials and methods: This cross-sectional prospective study was conducted on 369 women who had undergone C/S in Hazrate Zeinab Peace Be Upon Him (PBUH), Hafez, and Shooshtari hospitals affiliated to Shiraz University of Medical Sciences, Iran from April 2018 to March 2019. The study data were collected using a demographic form, an obstetric form, and Avant Checklist (AC) at postpartum and pre-discharge stages. Each participant was placed in Robson classification and the attachment score was calculated in each Robson Classification, and a comparison was made among the 10 groups. The data were analyzed into the SPSS 16 software and using descriptive statistics and paired t test.

Results: The total mean (SD) score of attachment was 38.73 (18.65) at 1-7 h postpartum and 90.52 (23.79) at pre-discharge. The highest total mean (SD) score of attachment was observed in group 6 (86.78 (8.70) at postpartum and 118.67 (4.47) at pre-discharge). The lowest total mean (SD) score of attachment was observed in group 10 (12.79 (2.37) at 1-7 h postpartum and 45.44 (7.99) at pre-discharge).

Conclusions: Obstetric characteristics in Robson Classification, parity, previous C/S, gestational age, onset of labor, fetal presentation, and number of fetuses were effective in clarifying information. The use of this system is necessary to determine the causes of increased C/S cases in low-income and middle-income countries.

Keywords: Attachment; cesarean section; classification; delivery; infant.

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Conflict of interest statement

Nothing to declare.

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References

    1. Vogel JP, Betrán AP, Vindevoghel N, Souza JP, Torloni MR, Zhang J, et al. Use of the Robson classification to assess caesarean section trends in 21 countries: A secondary analysis of two WHO multicountry surveys. Lancet Glob Health. 2015;3:e260–70. - 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 (Yazd) 2018;16:221–34. - PMC - PubMed
    1. Hehir MP, Ananth CV, Siddiq Z, Flood K, Friedman AM, D'Alton ME. Cesarean delivery in the United States 2005 through 2014: A population-based analysis using the Robson 10-Group Classification System. Am J Obstet Gynecol. 2018;219:105.e1–11. - PubMed
    1. Bolognani CV, Reis LBdSM, Dias A, Calderon IdMP. Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil. PLoS One. 2018;13:e0192997. - PMC - PubMed
    1. Rooeintan F, Borzabad PA, Yazdanpanah A. The impact of healthcare reform plan on the rate of vaginal delivery and cesarean section in Shiraz (Iran) in 2015. Electron Physician. 2016;8:3076–80. - PMC - PubMed