Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 16 , ISSUE 5 ( September-October, 2024 ) > List of Articles

RESEARCH ARTICLE

Robson Classification in Cesarean Section in Chhattisgarh, India

Neha Thakur, Archana Kennedyrajan, Neha Aggrawal, Lalita P Nekkatani

Keywords : Cesarean section, Induction of labor, Robson classification, Vaginal birth after cesarean section

Citation Information : Thakur N, Kennedyrajan A, Aggrawal N, Nekkatani LP. Robson Classification in Cesarean Section in Chhattisgarh, India. J South Asian Feder Obs Gynae 2024; 16 (5):533-536.

DOI: 10.5005/jp-journals-10006-2484

License: CC BY-NC 4.0

Published Online: 23-10-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Background: Cesarean sections are becoming more commonplace worldwide. The World Health Organization (WHO) advised utilizing the Robson categorization system to assess and monitor the frequency of cesarean procedures overtime, both within and between healthcare facilities. Aims and objectives: To determine the pattern of obstetric women population. To find which proportion of women have a high CS rate will help us to target specific groups of women for the reduction of overall CS. Materials and methods: This investigation was observational. From September 2022 to August 2023, all cesarean deliveries at Government Medical College, Mahasamund, Chhattisgarh, India, having a gestational age of more than 28 weeks, were included. After using Robson's TGCS, data were entered, examined, and shown as percentages. Results: A total of 3,573 deliveries happened in the study period. Approximately 41.26% of births were cesarean. Women who are nulliparous (46.36%) outnumber those who are multiparous (23.55%). The main relative contributors to the 80.18% overall CS rate were groups I, II, and V. Group VI had a breech, nulliparous CS rate of 82.86%, group IX had a high CS rate of 100%, and group V had a prior CS rate of 94.75%. Conclusion: The findings show that group V had a high CS rate; therefore, steps must be taken to decrease CS in groups I and II, since a reduction in CS in group I would subsequently result in a reduction in group V's group size. These measures include shared decision-making, equality of care, induction of labor and close monitoring, vaginal birth after cesarean section (VBACS) in selected women under supervised conditions, respectful maternity care, positive pregnancy experience, one-to-one intrapartum care, and appropriate regular training of staff involved in the care of pregnant women.


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