Abstract
The steady rise in caesarean section rate is an emerging area of concern in mother and child health care and a matter of international attention, which has been referred as a global epidemic. MATERIAL AND METHODS: This was prospective study carried out in the department of Obstetrics and Gynaecology at IGMC, Shimla, from 1st May 2010 to 30th April 2011. All pregnant women were categorized according to Robson's Ten Group classification system (RTGCS) 2001. RESULTS: overall caesarean section rate was 21.86%. Majority of the births 35.30% occurred in group 1 and 11.20% in group 2. Maximum CS rate in each group was in group 9 (88.23%) followed by group 6 (79.63%) and group 7 (71.22%). Contribution made by each group to overall CS rate was maximum by group 1 (6.28%) and group 5 (5.26%). Postpartum haemorrhage (Atonic) occurred in 1.60% subjects belonged to group 2,3,4,8. Two had caesarean hysterectomy. Uterine rupture occurred in one (0.08%) subject during VBAC-TOL. CONCLUSION: Robson's Ten Group classification system provides a framework for auditing and analyzing caesarean section rate and allowing comparisons to be made over time in one unit and between different units. The groups with higher caesarean section rate (Groups 5, 6, 7, 8, 9) can be targeted and attempt can be made to reduce and rationalize the rate.
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