Use of the robson classification to assess caesarean section at tertiary care teaching hospital

Abstract

Introduction: Rates of caesarean section surgery are rising worldwide, but the determinants of this increase, especially in low-income and middle-income countries, are controversial. In this study, we aimed to analyze the contribution of specific obstetric populations to changes in caesarean section rates, by using the Robson classification in two WHO multi country surveys of deliveries in health-care facilities. The Robson system classifies all deliveries into one of ten groups on the basis of five parameters: obstetric history, onset of labor, fetal lie, number of neonates, and gestational age. Material and Method: This is a prospective and cross-sectional study was conducted in the Department of Obstetrics and Gynaecology at Tertiary care Teaching Hospital over a period of 1 year. The study population included all women who under-went CS in the hospital. Laparotomy for uterine rupture and files with missing information were excluded.