scholarly journals Trend Prediction for Cesarean Deliveries Based on Robson Classification System at a Tertiary Referral Unit of North India

2019 ◽  
Vol 70 (2) ◽  
pp. 111-118 ◽  
Author(s):  
Pratima Mittal ◽  
Divya Pandey ◽  
Jyotsna Suri ◽  
Rekha Bharti
Keyword(s):  
Classification System ◽  
North India ◽  
Tertiary Referral ◽  
Trend Prediction ◽  
Robson Classification ◽  
Cesarean Deliveries

scholarly journals Cesarean Delivery in Iran: A Population-Based Analysis Using The Robson Classification System

2021 ◽  
Author(s):  
Maryam Pourshirazi ◽  
Mohammad Heidarzadeh ◽  
Mahshid Taheri ◽  
Habibollah Esmaily ◽  
Farah Babaey ◽  
...  
Keyword(s):  
Classification System ◽  
Peer Group ◽  
Perinatal Outcomes ◽  
Obstetric Care ◽  
Fetal Distress ◽  
Population Based ◽  
Robson Classification ◽  
Cesarean Deliveries ◽  
Study Results ◽  
Obstetric Population

Abstract Background The rise of Cesarean Section (CS) is a global concern. In Iran, the rate of CS increased from 40.7% in 2005 to 53% in 2014. This figure is even higher in the private sector. Objective To analyze the CS rates in the last two years using the Robson Classification System in Iran. Methods A retrospective analysis of all in-hospital electronically recorded deliveries in Iran was conducted using the Robson classification. Comparisons were made in terms of the type of hospital, CS rate, and obstetric population, and contributions of each group to the overall cesarean deliveries were reported. Results 2322500 women gave birth, 53.63% delivered through CS. Robson group 5 was the largest contributing group to the overall number of cesarean deliveries (47.1%) at a CS rate of 98.36%. Group 2 and 1 ranked the second and third largest contributing groups to overall CSs (20.57% and 10.78%, respectively). The latter groups had CS rates much higher than the WHO recommendation of 67.23% and 33.07%, respectively. “Fetal Distress” and “Undefined Indications” were the most common reasons for cesarean deliveries at CS rates of 13.6% and 13.4%, respectively. There was a significant variation in CS rate among the three types of hospitals for Robson groups 1, 2, 3, 4, and 10. Conclusion The study revealed significant variations in CS rate by hospital peer-group, especially for the private maternity unit, suggesting the need for further attention and audit of the Robson groups that significantly influence the overall CS rate. The study results will help policymakers identify effective strategies to reduce the CS rate in Iran, providing appropriate benchmarking to compare obstetric care with other countries that have better maternal and perinatal outcomes.

Pattern of Pediatric Uveitis at a Tertiary Referral Institute in North India

2016 ◽  
Vol 26 (3) ◽  
pp. 379-385 ◽  
Author(s):  
Natasha Gautam ◽  
Ramandeep Singh ◽  
Aniruddha Agarwal ◽  
Sonam Yangzes ◽  
Mohit Dogra ◽  
...  
Keyword(s):  
North India ◽  
Tertiary Referral ◽  
Pediatric Uveitis

Ocular Cysticercosis — A Profile

2003 ◽  
Vol 33 (3) ◽  
pp. 185-188 ◽  
Author(s):  
Anuradha Chowdhary ◽  
Rajlakshmi Bansal ◽  
Kirti Singh ◽  
Varinder Singh
Keyword(s):  
Retrospective Study ◽  
Medical Treatment ◽  
Surgical Excision ◽  
North India ◽  
Age Group ◽  
Common Site ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Ocular Cysticercosis

A retrospective study was conducted on all histopathologically proven cases of ocular cysticercosis spanning a decade in a tertiary referral centre of North India. The symptomatology, presentation, complications and treatment therapies of 18 of these patients are discussed. The most common age group to be affected was 11–20 years (50%), while the most common site involved was subconjunctival (78%), followed by lid (11%). Spontaneous extrusion was documented in three cases. Medical treatment with albendazole under the cover of corticosteroids was found to be a useful adjunct to surgical excision.

scholarly journals The Project Appropriate Birth and Reduction of Cesarean Section Rates: an analysis using the Robson classification system

2021 ◽  
Author(s):  
Daniela Ferreira D’Agostini Marin ◽  
Amanda Wernke ◽  
Daniela Dannehl ◽  
Dyulie Araujo ◽  
Gustavo Koch ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Classification System ◽  
Phase 1 ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Robson Classification ◽  
Before And After

OBJECTIVE: The objective of this study was to evaluate C-section rates, before and after the implementation of the Project Appropriate Birth based on the Robson 10-group classification system. DESIGN: An observational, cross-sectional study. SETTING: Maternity hospital in South Brazil. POPULATION: All pregnant women attending, April 2016 through April 2017 (phase 1, pre-implementation of the Project Appropriate Birth) and June 2017 through June 2018 (phase 2, post-implementation of the Project Appropriate Birth). METHODS: Maternal and obstetric characteristics were evaluated, including Robson’s classification, based on the characteristics of pregnancy and childbirth. Chi-square test and crude and adjusted prevalence ratios were used to analyze study variables. The significance level was set at 5%. MAIN OUTCOME MEASURES: C-section rate for each group, their contribution to the overall c-section rate and the differences in these contributions before and after PPA implementation. RESULTS: C-section rates decreased from 62.4% to 55.6%, which represented a 10.9% reduction after the implementation of the Project Appropriate Birth. Pregnant women in Robson classification groups 1 through 4 had the greatest decrease in C-section rates, ranging from 49.1% to 38.6%, which represents a 21.5% reduction. The greatest contributors to the overall C-section rates were group 5 and group 2, accounting for more than 60% of the C-section deliveries. CONCLUSION: The Project Appropriate Birth had an important impact on the reduction of C-section rates, especially in Robson classification groups 1 through 4, which indicates that providing mothers with evidence-based interventions for labor and childbirth assistance will contribute to reduce C-section rates.

scholarly journals Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain

2020 ◽  
Vol 17 (5) ◽  
pp. 1575 ◽  
Author(s):  
Rafael Vila-Candel ◽  
Anna Martín ◽  
Ramón Escuriet ◽  
Enrique Castro-Sánchez ◽  
Francisco Javier Soriano-Vidal
Keyword(s):  
Classification System ◽  
Weighted Least Squares ◽  
University Hospital ◽  
Analysis Tool ◽  
Least Squares Regression ◽  
Clinical Method ◽  
Robson Classification ◽  
Relative Contribution ◽  
Group 4 ◽  
Group 2

Background: The WHO recommends the use of the Robson ten-group classification system (RTGCS) as an effective monitoring and analysis tool to assess the use of caesarean sections (CS). The present study aimed to conduct an analysis of births using the RTGCS in La Ribera University Hospital over nine years and to assess the levels and trends of CS births. Methods: Retrospective study between January 1, 2010, and December 31, 2018. All eligible women were allocated in RTGCS to determine the absolute and relative contribution made by each group to the overall CS rate; linear regression and weighted least squares regression analysis were used to analyze trends over time. The risk of CS of women with induced versus spontaneous onset of labor was calculated with an odds ratio (OR) with a 95% CI. Results: 16,506 women gave birth during the study period, 19% of them by CS. Overall, 20.4% of women were in group 1 (nulliparous, singleton cephalic, term, spontaneous labor), 29.4% in group 2 (nulliparous, singleton cephalic, term, induced labor or caesarean before labor), and 12.8% in group 4 (multiparous, singleton cephalic, term, induced or caesarean delivery before labor) made the most significant contributions to the overall rate of CS; Conclusions: In our study, Robson Groups 1, 2, and 4, were identified as the main contributors to the hospital’s overall CS rate. The RTGCS provides an easy way of collecting information about the CS rate, is a valuable clinical method that allows standardized comparison of data, and time point, and identifies the groups driving changes in CS rates.

scholarly journals Caesarean section trends in Catalonia between 2013 and 2017 based on the Robson classification system: A cross-sectional study

PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0234727
Author(s):  
Garazi Carrillo-Aguirre ◽  
Albert Dalmau-Bueno ◽  
Carlos Campillo-Artero ◽  
Anna García-Altés
Keyword(s):  
Caesarean Section ◽  
Classification System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Robson Classification ◽  
System A
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