Use of the 10-Group Classification System to analyze how the population control policy change in China has affected cesarean delivery

2017 ◽  
Vol 138 (2) ◽  
pp. 158-163 ◽  
Author(s):  
Yihui Zhang ◽  
Ning Gu ◽  
Zhiqun Wang ◽  
Mingming Zheng ◽  
Yali Hu ◽  
...  
2018 ◽  
Vol 219 (1) ◽  
pp. 105.e1-105.e11 ◽  
Author(s):  
Mark P. Hehir ◽  
Cande V. Ananth ◽  
Zainab Siddiq ◽  
Karen Flood ◽  
Alexander M. Friedman ◽  
...  

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hazem Amin Elzenini ◽  
Radwa Mansour ◽  
Ismail Mohamed Ismail Elnagar

Abstract Background Cesarean section is an invasive surgical procedure in which a baby is delivered through an abdominal and uterine incision & carries with it many immediate and delayed morbidity and mortality risks. Objective To evaluate the feasibility of using the Robson Ten Group Classification System (TGCS) for cesarean delivery indications at Ain Shams Maternity hospital. Methods This is a retrospective study on women who delivered by cesarean delivery at Ain Shams Maternity hospital between July 1, 2016 and June 30, 2018. All patient files have been revised and data has been collected then categorized. The indications for this mode of delivery: suspected fetal growth impairment, fetal distress, preeclampsia/eclampsia, pregnancy duration in weeks or more pre-partum hemorrhage, cephalopelvic disproportion, dystocia, failure of progress, multiple pregnancy, suspected/imminent uterine rupture, breech or other malpresentations, previous cesarean delivery, failed induction of labor, tubal ligation, sterilization, maternal request genital herpes, extensive condyloma, any other obstetric complication, any other fetal indication or any other maternal medical complication. Results 15808 women delivered in the hospital during the study period, The CS rate was 58.04%. According to the Robson classification, Group5 and Group 10 were the most represented groups (31.72% and 29.91% of population, respectively). The major contributors to the CS rate were group 5 (27.10%), group10 (14.02%).The most commonly reported indications for CS included past CS, suspected fetal distress, preeclampsia, eclampsia.These suggested the need for further discussion on CS practices Conclusion This study provides an example on how the WHO manual for Robson classification can be used in an action-oriented manner for developing recommendations for improving the QoC, and the quality of data collected.


2013 ◽  
Vol 123 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Hany Abdel-Aleem ◽  
Omar M. Shaaban ◽  
Ahmed I. Hassanin ◽  
Alaa A. Ibraheem

NATAPRAJA ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 46-53
Author(s):  
Muhammad Arif Fahrudin Alfana ◽  
Agus Joko Pitoyo ◽  
Rizky Laudiansyah ◽  
Sri Sugiharti

This study has two main objectives. The first is to explain the achievement of the value of Total Fertility Rate (TFR) in the Special Region of Yogyakarta (DIY). The second is to explain the population control policy after the increase in TFR in DIY results of the 2017 IDHS. The population control policy taken by the DIY government comes from the Grand Design of Population Development document published by the People's Welfare Bureau. The method used in this study is library research. The analyst uses qualitative descriptive. The results showed that according to IDHS data, there had been fluctuations in the value of TFR during 1991-2017. In the last ten years, the pattern of TFR values in DIY has tended to increase. Population control is necessary to prevent this tendency. The policies taken by the government in the future in terms of population control in DIY include suppressing population growth rates, maturing marital age, controlling the value of TFR, and increasing the prevalence of contraception. The DIY government will implement at least this policy until 2035.


2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Rashida Parveen ◽  
Mehnaz Khakwani ◽  
Anum Naz ◽  
Rabia Bhatti

Objective: To analyze trends of CSs and evaluating them according to Robson’s Ten Groups Classification System (TGCS) at a leading government tertiary care hospital of South Punjab, Pakistan. Methods: This cross-sectional study was conducted at Department of Obstetrics and Gynaecology, Nishtar Medical University Hospital, Multan Pakistan, from October 2019 to March 2020.The study population included a total of 167 women who underwent CS in the hospital during the specified study period. For each case, we collected data regarding maternal characteristics and pregnancy-related information. The dependent variable was Robson classification group. Results: Overall, mean age was 26.53+5.1 years. Majority of the women, 116 (69.5%) belonged to urban areas of residence, 74 (44.3%) gestational aged between 37-42 years while 108 (64.7%) had history of cesarean section. Most of the patients, 85 (50.9%) turned out to be from TGCS Group-10. Group-5 and Group-1 were the 2nd and 3rd most common group, accounted for 24 (14.4%) and 19 (11.4%) cases respectively. Previous cesarean section (20.4%) and fetal distress (19.8%) were found to be most common indications leading to cesarean section. Conclusion: As per Robson’s Ten-Group Classification, Group-10 and Group-5 were found to be the most contributing among deliveries done. Previous cesarean section and fetal distress were the most common indications of cesarean section. doi: https://doi.org/10.12669/pjms.37.2.3823 How to cite this:Parveen R, Khakwani M, Naz A, Bhatti R. Analysis of Cesarean Sections using Robson’s Ten Group Classification System. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3823 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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