scholarly journals The Project Appropriate Birth: significance of the Robson classification in confronting the caesarean section “pandemic”

2021 ◽  
Author(s):  
N. Vrachnis
Keyword(s):  
Caesarean Section ◽  
Robson Classification

scholarly journals The ten group Robson classification: an institutional study to analyse the caesarean section rates

2021 ◽  
Author(s):  
Lekshminath Gopinath ◽  
Rajani Vaidya
Keyword(s):  
Caesarean Section ◽  
Policy Making ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Robson Classification ◽  
Relative Contribution ◽  
Obstetrics And Gynaecology ◽  
Vaginal Deliveries ◽  
Group 5

Background: Over the last few decades, there has been an alarming increase in the rate of deliveries by caesarean section (CS) in most of the countries, though the drivers of this trend are not completely understood. In 1985, WHO had proposed that ideal rate for regional CS rates should not exceed 10-15%. The Robson’s classification system is simple, robust and flexible. The study was done as it was important to have a tool to monitor, compare the CS rates in a same setting and between different settings over a period of time and to optimise the CS rates.Methods: It was a retrospective study conducted in the department of obstetrics and gynaecology in a tertiary care centre. The hospital delivery records were reviewed for a period of 15 months from April 2020 to June 2021.Results: The total number of deliveries during the study period was 1016. The total number of CSs was 441 and the total number of vaginal deliveries was 575.The CS rate was 43.4%. The relative contribution from groups 1, 2 and 5 in our study accounted for 76.36% and group 5 accounted for 44.4% of the total CSs. These 3 groups should be the focus of attention to reduce the overall CS rates.Conclusions: It is advisable that all institutions can use the Robson’s report table to analyse the population catered by them and to make institutional specific policies. This will allow comparing the data amongst the different institutions and countries which can help in policy making.

Using the 10-group Robson classification to reduce the caesarean section rate among nulliparas

2019 ◽  
Vol 234 ◽  
pp. e114
Author(s):  
Justina Kacerauskiene ◽  
Meile Minkauskiene ◽  
Tahir Mahmood ◽  
Dalia Railaite ◽  
Ruta Nadisauskiene ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Robson Classification

scholarly journals Applying the Robson classification to routine facility data to understand the Caesarean section practice in conflict settings of South Kivu, eastern DR Congo

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0237450
Author(s):  
Guy Mulinganya ◽  
Espoir Bwenge Malembaka ◽  
Melissa Lukula Akonkwa ◽  
Dieudonné Mpunga Mukendi ◽  
Etienne Kajibwami Birindwa ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Dr Congo ◽  
Robson Classification ◽  
Conflict Settings ◽  
South Kivu

scholarly journals Interventions to reduce caesarean section rates at government medical college and hospital Aurangabad, India

2020 ◽  
Vol 9 (4) ◽  
pp. 1563 ◽  
Author(s):  
Shrinivas Gadappa ◽  
Honey Gemavat ◽  
Sonali Deshpande ◽  
Ankita Shah
Keyword(s):  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Low Risk ◽  
Respectful Maternity Care ◽  
Clinical Interventions ◽  
Medical College ◽  
Robson Classification ◽  
Foetal Monitoring ◽  
Expectant Mothers ◽  
Group 5

Background: Caesarean sections are effective in saving maternal and infant lives, but only when they are performed for medically indicated reasons, The Objective of this study was to reduce caesarean Section rate at GMCH, Aurangabad and to improve overall birthing experience with respectful maternity care.Methods: The caesarean sections done at GMCH Aurangabad were audited using Robson`s Ten Group classification system to identify the major contributors to the overall CS rate. The following clinical and non-clinical interventions were applied dynamically to control the caesarean section rates. Clinical Interventions were changes in protocols regarding induction of labour, Intermittent auscultation as opposed to continuous electronic foetal monitoring in low risk cases, use of a partogram, encouragement of different birthing positions, promoting TOLAC to reduce the secondary CS rate. Nonclinical interventions include encouragement of DOULA (birth companion), ante-natal counselling of the expectant mothers, training of healthcare staff for respectful maternity care and use of evidence based clinical practice guidelines with mandatory second opinion for every non recurrent indication of CS. Auditing of caesarean section using Robson classification.Results: In this study there has been steady decline in LSCS rates from 33% to 26.9%. On analysis with Robson classification, group 5 (previous LSCS) made largest contribution of 36.9% followed by Group 1, 2, 10 each contributed 18.01%,13.2% and 11.2% respectively. Group 6 to 10 account for 23%. Various birthing positions lowered use of oxytocics from 33 % to 19% as well lowered episiotomy rates with greater success in vaginal delivery.Conclusions: Modification of induction protocols have reduced the primary LSCS rates and successful VBAC using FLAMM score was helpful in reducing the repeat caesarean Sections. Various birthing positions, DOULA gave greater success in vaginal delivery. LSCS rates in mothers with breech, multiple or oblique/transverse lies were largely unmodifiable. Limiting the CS rate in low-risk pregnancies by individualizing every labour and not to set a time limit as long as mother and baby are closely monitored.

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

Rationalisation of the caesarean section rate in a tertiary referral hospital using the Robson classification

2020 ◽  
pp. 1-7
Author(s):  
Ana Maria Palacios-Marques ◽  
Maria Asunción Quijada-Cazorla ◽  
Josefa Marcos-Sanmartin ◽  
Alejandra Garcia-Villalba ◽  
Lucia Perez-Silvestre ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Referral Hospital ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Robson Classification

scholarly journals Evaluation of caesarean section practices according to Robson's 10-group classification at a level two maternity ward in Conakry, Guinea

2019 ◽  
Vol 8 (11) ◽  
pp. 4468
Author(s):  
Daniel W. A. Leno ◽  
Mamoudou E. Bah ◽  
Jerry C. Moumbagna ◽  
Tamba M. Millimouno ◽  
David Lamah ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Medical Center ◽  
Caesarean Section Rate ◽  
Relative Size ◽  
Newborn Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Maternity Ward ◽  
Cross Sectional ◽  
Robson Classification

Background: The frequency of caesarean sections (CS) increased dramatically in the world over the last twenty years. The objective of this study was to evaluate caesarean section practices based on Robson classification in an urban referral hospital in Conakry, GuineaMethods: We conducted a cross-sectional study of 2,266 birthing records collected at the maternity ward of the Coronthie Communal Medical Center in Conakry, from January 1st to December 31st 2016. We included in the study all women who had a caesarean section and whose medical records were complete. Robson's classification was used to classify women into 10 groups based on maternal and fetal characteristics. The relative size of each group, its gross caesarean section rate as well as its contribution to overall caesarean section rate and the main caesarean section indications were calculated.Results: In 2016, 769 caesarean sections were performed out of 2,266 deliveries, corresponding to a hospital section rate of 33.9%. Groups 5 (11.0%), 1 (4.8%), and 3 (4.3%) of the Robson classification were the most contributors to registered hospital caesarean section rate. The main indications for caesarean section were uterine scar in group 5 and acute fetal distress in groups 1 and 3.Conclusions: The systematic reference to the Robson classification could help to identify and avoid the relative indications of the caesarean section in urban Guinea. Besides, increasing induction of labor and strengthening providers’ capacities in emergency obstetric and newborn care services could contribute to reduce caesarean section rates in Guinea.

scholarly journals Caesarean Delivery Rates in Birth Centres: confrontation using Robson Classification

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Bocci ◽  
N Nante ◽  
M Napolitani ◽  
I Scinicariello ◽  
L Kundisova ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Multiple Pregnancy ◽  
Vaginal Birth ◽  
Cross Sectional ◽  
Group V ◽  
Mortality And Morbidity ◽  
Birth Centre ◽  
Robson Classification ◽  
Group I ◽  
Birth Centres

Abstract Background A caesarean section (CS) is a life-saving procedure, reducing perinatal mortality and morbidity, over last decades CS rates are increasing. In 2015 the Robson classification (RC) was introduced by WHO as a global standard for assessing, monitoring and comparing CS rates within healthcare facilities and between them. The aim of this cross-sectional study was to identify the most numerous groups according to RC. Methods All women, who delivered by CS from January 2015 to June 2017 in two hospitals in the province of Siena (Italy): I level Birth Centre of Grosseto (GR) and II level Birth Centre of Siena (SI) were included. Age, type of hospital and group based on RC were extracted from Medical Register. The RC divides women into 10 groups based on 5 basic obstetric characteristics (parity, number of foetuses, previous CS, onset of labour, gestational age, foetus presentation). The percentages of the group’s contribution to the overall CS rate were calculated and confronted for two birth centres. All analysis was performed with Stata. Results A total of 2115 women was analysed, 50.5% from SI. Average age was 34.3±5.7; significantly higher for SI (34.7±5.6vs33.9±5.8). Most contributing groups were group V: multiparous, singleton, cephalic, term, with previous CS (24.2%), group II: nulliparous, singleton, cephalic, term, induced labour or CS (24%), group I: nulliparous, singleton, cephalic, term, spontaneous labour (11.45%), group VIII: multiple pregnancy (10.7%) and group X: singleton, cephalic, pre-term (10.4%). Differences for type of birth centre were observed for groups I, II, V and VIII: I and VIII were more numerous in SI, II and V in GR (chi2; p < 0.05). Conclusions The most numerous groups were I, II e V, concordant with literature. Reduction of CS rates in group V could be obtained through lowering of primary CS rates and by promotion of Vaginal Birth After CS. Healthcare professionals could help to reduce labour-related anxiety and elective CS rates. Key messages The most contributing groups to overall caesarean section rates were groups I, II e V, as reported in literature. Reduction of CS rates could be obtained through lowering rates of primary CS, but also by promotion of Vaginal Birth After CS.

Analysis of the caesarean section rate using the 10-Group Robson classification at Benha University Hospital, Egypt

2020 ◽  
Vol 33 (2) ◽  
pp. e105-e110 ◽  
Author(s):  
Bismeen Jadoon ◽  
Tamer Mahmoud Assar ◽  
Amany Ali Abdel Rahman Nucier ◽  
Heba Elsayed Abdel Raziq ◽  
Ahmed Samy Abd El-Azym Saad ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Caesarean Section Rate ◽  
University Hospital ◽  
Robson Classification
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