The Rate and Characteristics of Cesarean Section Performed at a Tertiary Referral Hospital and District Hospital in Bali, Indonesia, Using Robson Classification System during the Period of January to December 2018
Anak Agung Ngurah Jaya Kusuma, Sugianto Sugianto, Tjokorda Gde Agung Suwardewa, Ida Bagus Putra Adnyana, I Gusti Ngurah Harry Wijaya Surya, Pande Kadek Aditya Prayudi, William Alexander Setiawan
Citation Information :
Kusuma AA, Sugianto S, Suwardewa TG, Adnyana IB, Surya IG, Prayudi PK, Setiawan WA. The Rate and Characteristics of Cesarean Section Performed at a Tertiary Referral Hospital and District Hospital in Bali, Indonesia, Using Robson Classification System during the Period of January to December 2018. J South Asian Feder Obs Gynae 2022; 14 (1):49-53.
Aim: This study is aimed to compare the rates and characteristics of cesarean section (CS) based on the Robson classification system in a tertiary referral hospital and district hospital in Bali, Indonesia.
Materials and methods: A retrospective descriptive study was conducted at Sanglah Tertiary Hospital, Denpasar, and Sanjiwani District Hospital from the period of January to December 2018. The data were collected from the medical records and analyzed using simple statistical measures.
Results: CS rates at Sanglah Tertiary Hospital and Sanjiwani District Hospital were 34.3% (385/1121) and 21.5% (212/984), respectively. In Sanglah Tertiary Hospital, the highest CS rate was found in the age-group of 20–35 years, primigravida, term pregnancy, and among Robson group X. Compared to Sanjiwani District Hospital, the clinical characteristics were almost similar but the highest CS rate was found among Robson group IV.
Conclusions: Interventions, such as audit feedback, quality improvement, and multifaceted strategies, are needed to change clinical practice and reduce the rate of CS. The Robson classification is recommended to be used as a CS audit tool.
Clinical significance: A safe and timely CS remains a major challenge in countries with a high maternal mortality ratio, which poses new challenges to these countries in reducing CS performed without appropriate indications.
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