Rational dissection of a high institutional cesarean section rate: An analysis using the Robson Ten Group Classification System

2014 ◽  
Vol 41 (4) ◽  
pp. 534-539 ◽  
Author(s):  
Jarrod KH Tan ◽  
Eng Loy Tan ◽  
Devendra Kanagalingan ◽  
Lay Kok Tan
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Group Classification ◽  
Cesarean Section Rate

scholarly journals Analysis of Cesarean Section at a Tertiary care centre in Eastern Nepal according to Robson's Ten Group classification System (TGCS): A hospital based cross sectional study.

2020 ◽  
Vol 5 (3) ◽  
pp. 1171-1175
Author(s):  
Anamika Das ◽  
Ajay Agrawal ◽  
Sangeeta Bhandari ◽  
Sanyukta Rajbhandari ◽  
Surya Prasad Rimal
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Tertiary Care ◽  
Relative Size ◽  
Group Classification ◽  
Health Care Facilities ◽  
Cesarean Section Rate ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
The Absolute

Introduction: Cesarean sectionis on the rising trend,so WHO proposes that health care facilities uses the Robson's 10 group classification system to audit their Cesarean section rates. This classification will helpto developstrategies to reduce these rates. Objective: The objective of this study was to classify the women coming for delivery into the 10 Robson’s group,to interpret the 10 group classification and to know the highest rate of cesarean section in the group. Methodology: This was a hospital basedcross sectional study carried out in the Department of Obstetrics and Gynaecology, for a period of 6months. All women undergoing deliverywere recruited for study .Based onthe  patient’s obstetric parameters, women were assigned to one of 10 groups as per Robson’s 10-group classification system.The relative size of each group, the cesarean section rate in each group, and the absolute and relative contributions to the overall cesarean section rate was then reported. Results: During the study period, the overall Cesarean Section rate was 33.40%.Highest contribution was by Robson's Group 2(Nulliparous, single cephalic, ≥ 37 weeks, induced or CS before labor(9.84%) followed by Group 1(Nulliparous, single cephalic, ≥ 37 weeks, in spontaneous labor)(7.73%) and Group 5(Previous CS, single cephalic, ≥ 37 weeks)  (5.75%). Least contribution was by Groups 8(All multiple pregnancies (including previous CS)and 9[All abnormal lies (including previous CS)]0.20% and 0.27% respectively. All women in group 9(all abnormal lies including previous CS)had 100% Cesarean rate. Conclusions: With reductions in the primary cesarean section rates and encouragingpatients forVBACcould reduce the contribution of Robson's groups towards the absolute Cesarean Section rates.

scholarly journals Use of a Classification Tool to Determine Groups of Women That Contribute to the Cesarean Section Rate: Establishing a Baseline for Clinical Decision Making and Quality Improvement

2012 ◽  
Vol 2 (2) ◽  
pp. 85-95 ◽  
Author(s):  
Valerie Slavin ◽  
Jennifer Fenwick
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Clinical Decision Making ◽  
Breech Presentation ◽  
Clinical Decision ◽  
Models Of Care ◽  
Group Classification ◽  
External Cephalic Version ◽  
Cesarean Section Rate ◽  
Classification Tool

OBJECTIVE:To identify the groups of women who are the largest contributors to the cesarean section rate at a maternity facility in South East Queensland, Australia. Examining the characteristics of these women will allow the development of unit-focused initiatives aimed at reducing cesarean sections in these groups of women.METHOD:A modified version of the Robson Ten Group Classification System was identified as the most appropriate tool to determine cesarean section rates in different groups of women. A prospective clinical audit was then carried out during a 6-month period in 2010 using the tool.FINDINGS:The Robson Ten Group Classification System identified that planned repeat cesarean section was the largest contributor to the cesarean rate. This was followed by women having their first baby, women having an induction, and women who have a breech presentation at term.CONCLUSIONS AND IMPLICATIONS:The Robson classification tool was useful in identifying groups of women at risk of a cesarean section. Unit-specific strategies can now be developed and implemented in an effort to lower the rate. These include increasing the vaginal birth after cesarean rate, the uptake of external cephalic version, supporting nonintervention birth environments, and implementing models of care where clinicians are skilled in facilitating normal birth. The value of using such a tool is the ability to monitor change over time as well as facilitating the comparison of data between units of a similar nature.

scholarly journals Analysis of Cesarean Section Rate using Robson's Ten Group Classification System and comparing the Trend at a Tertiary Hospital for 2 Years

2016 ◽  
Vol 8 (3) ◽  
pp. 175-180
Author(s):  
RC Prameela ◽  
Gatta Shilpa ◽  
Asma Farha ◽  
S Prajwal
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Relative Size ◽  
Tertiary Hospital ◽  
Group Classification ◽  
Cesarean Section Rate ◽  
Group Iii ◽  
Group I ◽  
Labor Ward ◽  
Operative Notes

ABSTRACT Aims and objectives To classify the cesarean section (CS) in different groups of Robson's ten-group classification system (TGCS) and comparing the rate and relative size of groups with that of previous year at the tertiary hospital. Materials and methods This retrospective study was conducted in Cheluvamba Hospital, which is a tertiary hospital attached to Mysore Medical College & Research Institute, Mysuru, between January 1, 2014 and December 31, 2014. The data collected was compared with the previous year data between January 1, 2013 and December 31, 2013. The data collected included parity, mode of previous delivery, gestational age, onset of labor-spontaneous or induced, delivery notes of labor ward, and operative notes of CS. This data was then applied to the Robson's TGCS for the year 2014 and compared with that of 2013. Results The total deliveries during 2014 were 12,930 and in 2013 were 15,182. The number of CSs during 2014 was 3,793 and in 2013 it was 3,917. Cesarean section rate in 2014 was 29.33% while in 2013 it was 25.8%. The CS rate has come down to half in group I (nulliparous, single, cephalic. 37 weeks, in spontaneous labor) and to onefourth in group III [multiparous (excluding previous CS) single, cephalic. 37 weeks, in spontaneous labor] in 2014. Conclusion Robson's TGCS is easy to classify. Clinical significance The study showed reduction in CS rate by half in group I and by one-third in group III in 2014 in our institution. This was probably due to the increased awareness among the staff of the institute by the previous year study about higher CS rate. How to cite this article Prameela RC, Shilpa G, Farha A, Prajwal S. Analysis of Cesarean Section Rate using Robson's Ten Group Classification System and comparing the Trend at a Tertiary Hospital for 2 Years. J South Asian Feder Obst Gynae 2016;8(3):175-180.

scholarly journals Retrospective study of cesarean section by using the Robson’s ten group classification system

2018 ◽  
Vol 7 (3) ◽  
pp. 1054
Author(s):  
Manoj Bhatt ◽  
Gunvant Kadikar ◽  
Dipti C. Parmar ◽  
Medha Kanani
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Group Classification ◽  
Cesarean Section Rate ◽  
Vaginal Birth After Cesarean ◽  
Relative Contribution ◽  
Study Institute ◽  
Group 5 ◽  
Previous Cesarean ◽  
Group 1

Background: The present study was done to determine the relative contribution of each of ten groups of robson´s classification to overall cesarean section rate and identify modifiable group for intervention to reduce the cesarean rate.Methods: Retrospective review of record of cesarean section from the statistical Dept of Obstetrics and Gynecology sir T. hospital, Bhavnagar from January 2017 to October 2017 and classify them in to Robson´s ten group classification system to find out total number of cesarean among total number of delivery in above 10 months duration.Results: Total number of delivery in my study institute in 10 months was 3804 out of them 1182 was cesarean section, so the overall cesarean section rate in Sir T. hospital, Bhavnagar was 31%. Group 1 (Nulliparous, single cephalic, >37 weeks in spontaneous labor), 2 (Nulliparous, single cephalic, >37 weeks, induced or CS before labor) and 5 (Previous CS, single cephalic, >37 weeks) contributes for around 66% of total cesarean. Group 5 (Previous CS, single cephalic, >37 weeks) was the major contributor among all. Least common cause of cesarean was group 8 (All multiple pregnancies (including previous CS)) and group 9 (All abnormal lies including previous CS).Conclusions: Incidence of cesarean was more common with patient having previous cesarean section. So, to decrease cesarean rate trial of labour should be given to the patient who was suitable for vaginal birth after cesarean section. Adequate assessment of pelvis and giving trial to patient having borderline pelvis also decrease the rate of cesarean in primi gravid (group 1).

scholarly journals Analysis of Cesarean Sections using Robson’s Ten Group Classification System

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Rashida Parveen ◽  
Mehnaz Khakwani ◽  
Anum Naz ◽  
Rabia Bhatti
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Fetal Distress ◽  
Group Classification ◽  
Care Hospital ◽  
Cesarean Sections ◽  
Previous Cesarean Section ◽  
Group 10 ◽  
Group 5 ◽  
Previous Cesarean

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.

scholarly journals Cesarean section rates in Lithuania using Robson Ten Group Classification System

Medicina ◽  
2015 ◽  
Vol 51 (5) ◽  
pp. 280-285 ◽  
Author(s):  
Eglė Barčaitė ◽  
Gintarė Kemeklienė ◽  
Dalia Regina Railaitė ◽  
Arnoldas Bartusevičius ◽  
Laima Maleckienė ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Group Classification

Analysis of cesarean section rates in two German hospitals applying the 10-Group Classification System

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Christina Pulvermacher ◽  
Patricia Van de Vondel ◽  
Lydia Gerzen ◽  
Ulrich Gembruch ◽  
Thomas Welchowski ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Group Classification ◽  
University Hospital ◽  
National Data ◽  
Birth Registry ◽  
Aggregated Data ◽  
Levels Of Care ◽  
Starting Point ◽  
Group 5

Abstract Objectives In Germany, cesarean section (CS) rates more than doubled within the past two decades. For analysis, auditing and inter-hospital comparison, the 10-Group Classification System (TGCS) is recommended. We used the TGCS to analyze CS rates in two German hospitals of different levels of care. Methods From October 2017 to September 2018, data were prospectively collected. Unit A is a level three university hospital, unit B a level one district hospital. The German birth registry was used for comparison with national data. We performed two-sample Z tests and bootstrapping to compare aggregated (unit A + B) with national data and unit A with unit B. Results In both datasets (national data and aggregated data unit A + B), Robson group (RG) 5 was the largest contributor to the overall CS rate. Compared to national data, group sizes in RG 1 and 3 were significantly smaller in the units under investigation, RG 8 and 10 significantly larger. Total CS rates between the two units differed (40.7 vs. 28.4%, p<0.001). The CS rate in RG 5 and RG 10 was different (p<0.01 for both). The most relative frequent RG in both units consisted of group 5, followed by group 10 and 2a. Conclusions The analysis allowed us to explain different CS rates with differences in the study population and with differences in the clinical practice. These results serve as a starting point for audits, inter-hospital comparisons and for interventions aiming to reduce CS rates.

scholarly journals Robsons Ten Group Classification of Cesarean Section at a Tertiary Center in Nepal

2021 ◽  
Vol 19 (1) ◽  
pp. 91-96
Author(s):  
Gehanath Baral ◽  
Alish Shrestha ◽  
Arati Sah ◽  
Aswani Kumar Gupta
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Group Classification ◽  
Quality Of Data ◽  
Cesarean Birth ◽  
Robson Classification ◽  
Tertiary Center ◽  
Preterm Group ◽  
Obstetric Population

Background: Increasing trend in Ceasarean birth is the issue of both demand and supply side. One of the recommended tools to characterize every pregnancy admitted for childbirth is Robson ten-group classification system that may evaluate obstetric practice. The aim of the study was to assess the cesarean section pattern based on Robson’s classification in a central referral hospital.Methods: A retrospective census of childbirths at Paropakar Maternity and Women’s Hospital in Kathmandu performed from September 2018 to February 2019 based on obstetric record. Robson ten-group classification system was the research tool to collect data and Robson Classification Report Table was used to evaluate the data.Results: There were 10500 births with 34% (32-35%) overall cesarean section rate. Excluding spontaneous and induced labor the supposedly total prelabor CS is 14.5%. Group 1+2+3 size is 81% and 21% CS; 5+10 had 11.3% and 23.3% respectively. Prelabor CS (2b+4b) is 3.54% and additional 11% from malpresentation and preterm. Group CS rate from Class 5 onwards, and ratio of 1 and 2 are as recommended by Robson; 67% of CS were not picked up by Robson class due to indications evolved as the labor progresses and the attributes not pre-classified.Conclusions: The assessed quality of data and the type of obstetric population by Robson reference values prove this study as a representative research. But the indications of cesarean sections can be predicted for only one-third of pregnancy attributes classified by Robson class. To supplement this tool to reduce rising cesarean birth requires audit of indications at decision making level.Keywords: Cesarean section; indication; prediction; robson classification

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