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Original Article
13 (
2
); 58-65

Analysis Of Caesarean Section Rate Over a Ten Year Period at a Tertiary Care Teaching Hospital in Gujarat, India According to Robson’s Ten Group Classification

Associate professor, Department of Obstetrics and Gynaecology, Smt NHL Municipal Medical College, Ahmedabad
Assistant professor, Department of Obstetrics and Gynaecology, Smt NHL Municipal Medical College, Ahmedabad
Second Year Resident, Department of Obstetrics and Gynaecology, Smt NHL Municipal Medical College, Ahmedabad
First Year Resident, Department of Obstetrics and Gynaecology, Smt NHL Municipal Medical College, Ahmedabad

*Corresponding Author: Dr Raxita D Patel Email: dipak_raxita@yahoo.com

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

Abstract

Background and objectives:

There has been an increase in the rate of Caesarean section (CS) over the last 5 decades, so it is a matter of concern. According to Robson’s Ten Group Classification System, we have examined Caesarean section rate (CSR) over a 10-year period at our institute.

Materials and Methods:

In this retrospective study, all deliveries (Vaginal + CS) carried out at our institute over a 10-year period from 2010 to 2019 were analyzed and classified according to Robson’s Ten Group Classification System.

Results:

Groups I and II represented 27.21% of the total obstetric population. Overall CSR during the 10-year study period was 35.47% (17,820 out of 50,244 total deliveries). Largest contribution (47.48%) to overall CSR was by Group V (CSR of 65.44%) and second largest contribution (24.16%) was by Group I(CSR of 24.16%), while group VII contributed least to overall CSR (0.8%).

Conclusion:

Groups V and I are the largest contributors to CSR. Standardization of indication of CS, regular audits and definite protocols in hospitals can decrease the overall CSR.

Keywords

caesarean section
Robson’s ten group classification
caesarean section rate
trial of labom after caesarean

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