Evaluation of Primary Caesarean Section Trends in Institute of Obstetrics and Gynaecology Using the Robson Classification

Abstract

Background

Raising caesarean section rates are of main concern worldwide. This study is aimed at the use Robson’s ten group classification system to evaluate the group of women contributing to the higher primary CS rate in a tertiary care hospital in south India.

INTRODUCTION

There is increase in caesarean rate still there is no evidence supporting caesarean section would reduce the maternal and perinatal mortality. In this article the Robson 10 group classification system is used to classify and evaluate the trend of primary CS rates in a tertiary care centre in Chennai, India.

Methods

This is a prospective observational study for a period of one year from October 2021 to October 2022 at the Institute of Obstetrics and Gynaecology, a tertiary care centre in Tamil Nadu. Robson's classification technique was used to categorize the women who gave birth during this time, and both the primary and overall CS rates were calculated.

Results

Highest contribution to primary CS rate is group 2 and then group 1. Together these groups contribute to about 50% of the primary CS rate followed by group 8 and group 4. Other groups do not contribute much to primary CS rates.

Conclusions

The rate of primary CS has risen in many countries over time. A uniform standard across hospitals needs to be considered. Robson ten group classification makes the work of collecting and categorising the information about CS much easier. A detailed insight about CS rate and also strategies to curb the primary CS / overall CS rate could be sorted with the use of this classification.