Analysis of Cesarean Section Rate using Robson's Ten Group Classification System and comparing the Trend at a Tertiary Hospital for 2 Years

Abstract

ABSTRACT Aims and objectives To classify the cesarean section (CS) in different groups of Robson's ten-group classification system (TGCS) and comparing the rate and relative size of groups with that of previous year at the tertiary hospital. Materials and methods This retrospective study was conducted in Cheluvamba Hospital, which is a tertiary hospital attached to Mysore Medical College & Research Institute, Mysuru, between January 1, 2014 and December 31, 2014. The data collected was compared with the previous year data between January 1, 2013 and December 31, 2013. The data collected included parity, mode of previous delivery, gestational age, onset of labor-spontaneous or induced, delivery notes of labor ward, and operative notes of CS. This data was then applied to the Robson's TGCS for the year 2014 and compared with that of 2013. Results The total deliveries during 2014 were 12,930 and in 2013 were 15,182. The number of CSs during 2014 was 3,793 and in 2013 it was 3,917. Cesarean section rate in 2014 was 29.33% while in 2013 it was 25.8%. The CS rate has come down to half in group I (nulliparous, single, cephalic. 37 weeks, in spontaneous labor) and to onefourth in group III [multiparous (excluding previous CS) single, cephalic. 37 weeks, in spontaneous labor] in 2014. Conclusion Robson's TGCS is easy to classify. Clinical significance The study showed reduction in CS rate by half in group I and by one-third in group III in 2014 in our institution. This was probably due to the increased awareness among the staff of the institute by the previous year study about higher CS rate. How to cite this article Prameela RC, Shilpa G, Farha A, Prajwal S. Analysis of Cesarean Section Rate using Robson's Ten Group Classification System and comparing the Trend at a Tertiary Hospital for 2 Years. J South Asian Feder Obst Gynae 2016;8(3):175-180.