An audit of caesarean section in a semi urban hospital in northern cross river state Nigeria utilizing the robson-10 criteria

Abstract

Introduction: There has been rising rates of caesarean section across the globe and some of their indications are unjustified. This brings to the fore, the need to audit the caesarean section cases done in a resource poor setting like ours, utilizing the World Health Organization (W.H.O) endorsed Robson Ten Group Classification System (TGCS). Objective: To determine the rate of caesarean section and the major contributing groups to this overall rate using the Robson Ten Group Classification System. Materials and Method: This is a retrospective study of 430 women who had caesarean section over a 24 month period. Result: Out of 1402 women that delivered during the study period, 430 of them had caesarean section, giving a caesarean section rate of 30.7%. Using the Robson Ten Group Classification System, group 3 was the major contributor to the overall caesarean section rate with 25.81%. This was followed by groups 1 (18.84%) and 4 (13.95%) respectively. Conclusion: A high caesarean section rate of 30.7% was obtained from our study and group 3 was the major contributor to this caesarean section rate. Constant auditing is encouraged to lower the caesarean section rate.