The analysis of Caesarean Section Rate based on 10 groups Robson’s Classification

Abstract

Introduction: Caesarean Section use is growing in a progressive rate globally. The trend in Albania follows the same pattern with the overall rate rising steadily. Specifically, in “Koco Gliozheni” Hospital the data went up from 29.5% in 2010 to 43.41% in 2020. The World Health Organization recommends the Robson Classification as an effective way of monitoring and analyzing caesarean section . Objective: The aim of this article is to evaluate the cesarean section rate at UHOG “Koco Gliozheni”. Material and method: This is a retrospective cross sectional study conducted at UHOG “Koco Gliozheni” in Tirana from January 2016 to May 2017. Results: 1918 out of 4838 births were performed by caesarean section, which corresponds to a rate of 39.6%. According to Robson classification the largest group was the group 5 with a relative contribution of 31.6%. On second and third place were group 1 and 2 with relative contribution of 22.5% and 16.7% respectively. Groups 1; 2; 5 made an account of relative contribution of 76.2%. All other groups had altogether a contribution of 23.8%.Conclusions: In our study, Robson Groups 5, 1, 2 were identified as the main contributors to the overall CS rate at the UHOG “Koco Gliozheni”. It is important that efforts to reduce the overall CS rate should mainly be focused on the primary CS rate (group 1 and 2) and on increasing vaginal birth trail after CS (group 5).