Citation Information :
Kabra SL, Madaan R, Maheshwari S, Nanda P. Robson's 10-group Classification System Analysis of Cesarean Deliveries Performed at a Tertiary Care Teaching Institution. J South Asian Feder Obs Gynae 2023; 15 (6):643-646.
Background: Cesarean section (CS) is defined as the delivery of a fetus through surgical incisions made through the abdominal wall (laparotomy) and the uterine wall (hysterotomy). Cesarean section delivery is to be performed only when it is necessary, as it increases maternal morbidity. There is a substantial rise in the CS rate over the previous three decades, and an objective and scientific analysis of the indications of CS deliveries is necessary to decrease the number. As a result, Robson's classification of global standards has become indispensable. To reduce the rising CS rate, this study used Robson's criteria to analyze the CS trend at a tertiary care teaching hospital. It also identified the proportion of women in each category according to Robson's 10-group categorization scheme and the CS rate among them.
Methods: The Deen Dayal Upadhyay Hospital, a tertiary care teaching hospital in New Delhi, served as the site of this retrospective study. Data were gathered from women who underwent cesarean deliveries between January 2022 and January 2023, and proportions in various categories were computed using Robson's 10-group classification scheme.
Results: About 33.33% of deliveries at DDU Hospital throughout the study period were CS. Robson group I (21.95%) had the highest level of representation in the study group, followed by Robson groups III (20.89%) and 2 (18.74%), while Robson groups VIII (1.23%) and 9 (0.32%) had the lowest levels. Group II came in second at 7.3%, while the Robson group V contributed the most overall to the CS rate at 12.42%. Group IX had a 100% CS rate despite comprising the smallest proportion of the study group.
Conclusion: The most common indication for previous lower segment cesarean section can be reduced by judicious use of trial of labor after cesarean. Every effort must be done to reduce primary CS.
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