scholarly journals Caesarean section rates analysed using Robson’s 10-Group Classification System: a cross-sectional study at a tertiary hospital in Ethiopia

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e039098
Author(s):  
Abdella Amano Abdo ◽  
Sven Gudmund Hinderaker ◽  
Achamyelesh Gebretsadik Tekle ◽  
Bernt Lindtjørn
Keyword(s):  
Classification System ◽  
Cross Sectional Study ◽  
Group Classification ◽  
Referral Hospital ◽  
Sectional Study ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
Spontaneous Labour ◽  
Multiparous Women ◽  
Hawassa University

ObjectiveThe aim of this study was to assess the caesarean section (CS) rates using Robson’s 10-Group Classification System among women who gave birth at Hawassa University Referral Hospital in southern Ethiopia.DesignCross-sectional study design to determine CS rate using Robson’s 10-Group Classification System.SettingHawassa University Referral Hospital in south Ethiopia.Participants4004 women who gave birth in Hawassa University Referral Hospital from June 2018 to June 2019.ResultsThe 4004 women gave birth to 4165 babies. The overall CS rate was 32.8% (95% CI: 31.4%–34.3%). The major contributors to the overall CS rates were: Robson group 1 (nulliparous women with singleton pregnancy at term in spontaneous labour) 22.9%; group 5 (multiparous women with at least one previous CS) 21.4% and group 3 (multiparous women without previous CS, with singleton pregnancy in spontaneous labour) 17.3%. The most commonly reported indications for CS were ‘fetal compromise’ (35.3%) followed by previous CS (20.3%) and obstructed labour (10.7%).ConclusionA high proportion of women giving birth at this hospital were given a CS, and many of them were in a low-risk group. Few had trial of labour. More active use of partogram, improving fetal heartbeat-monitoring system, implementing midwife-led care, involving a companion during labour and auditing the appropriateness of CS indications may help to reduce the CS rate.

scholarly journals Can the Robson 10 Group Classification System help identify which groups of women are driving the high caesarean section rate in major private hospitals in eastern Ethiopia? A cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e047206
Author(s):  
Shegaw Geze ◽  
Abera Kenay Tura ◽  
Sagni Girma Fage ◽  
Thomas van den Akker
Keyword(s):  
Caesarean Section ◽  
Cross Sectional Study ◽  
Group Classification ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Private Hospitals ◽  
Spontaneous Labour ◽  
Labour Group

ObjectiveThe rates of caesarean section (CS) in Ethiopian private hospitals are high compared with those in public facilities, and there are limited descriptions of groups of women contributing to these high rates. The objective of this study was to describe the groups contributing to increased CS rates using the Robson classification in two major private hospitals in eastern Ethiopia.DesignCross-sectional study.SettingTwo major private hospitals in eastern Ethiopia.ParticipantsAll women who gave birth from 9 January 2019 to 8 January 2020 in two major private hospitals in eastern Ethiopia.Primary and secondary outcome measuresThe primary outcome was the Robson 10 Group Classification System. The secondary outcome was indication for CS as recorded in the medical files.ResultsOf 1203 births in both hospitals combined during the study period, 415 (34.5%) were by CS. Women with a uterine scar due to previous CS (group 5), single cephalic term multiparous women in spontaneous labour (group 3) and single cephalic term nulliparous women in spontaneous labour (group 1) were the leading groups contributing 33%, 27.5% and 17.1%, respectively. The leading documented indications were fetal compromise (29.4%), previous CS (27.2%) and obstructed labour (12.3%).ConclusionMore than three-fourths of CS were performed among Robson groups 5, 3 and 1, indicating inadequate trial of labour after CS or management of labour among relatively low-risk groups (3 and 1). Improving management of spontaneous labour and strengthening clinical practice around safely providing the option of vaginal birth after CS practice are strategies required to reduce the high CS rates in these private facilities.

scholarly journals Analysis of cesarean section rates using Robson Ten Group Classification System in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

2020 ◽  
Author(s):  
Ferid A. Abubeker ◽  
Biruck Gashawbeza ◽  
Thomas Mekuria Gebre ◽  
Mekitie Wondafrash ◽  
Alula M. Teklu ◽  
...  
Keyword(s):  
Classification System ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Group Classification ◽  
High Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Group 4 ◽  
Group 10 ◽  
Group 2

Abstract Background Cesarean section (CS) is an important indicator of access to, and quality of maternal health services. The World Health Organization recommends the Robson ten group classification system as a global standard for assessing, monitoring and comparing CS rates at all levels. This study aimed to assess the rate of CS and perform an analysis based on Robson classification system. Methods A facility-based cross-sectional study was conducted at a tertiary hospital in Addis Ababa, Ethiopia. Data were collected from medical charts of all women who delivered from January-June 2018. The overall CS rate was calculated then women were categorized into one of the ten Robson groups. Relative size of each group, contribution of each group to the overall CS rate, and CS rate within each group were calculated. Results A total of 4,200 deliveries were analyzed. Of these 1,459 (34.7%) were CS. The largest contributors to the overall CS rate were Group 10 (19.1%), Group 2 (18.3%), Group 5 (17.1%), and Group 4 (15.8%). There was also a high rate of pre-labor CS in Group 2, Group 4, and Group 10. Conclusion Through implementation of the Robson ten group classification system, we identified the contribution of each group to the overall CS rate as well as the CS rate within each group. Group 10 was the leading contributor to the overall CS rate. This study also revealed a high rate of CS among low-risk groups. These target groups require more in-depth analysis to identify possible modifiable factors and to apply specific interventions to reduce the CS rate. Evaluation of existing management protocols and further studies into indications of CS and outcomes are needed to design tailored strategies and improve outcomes.

scholarly journals Analysis of cesarean section rates using Robson Ten Group Classification System in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

2020 ◽  
Author(s):  
Ferid A. Abubeker ◽  
Biruck Gashawbeza ◽  
Thomas Mekuria Gebre ◽  
Mekitie Wondafrash ◽  
Alula M. Teklu ◽  
...  
Keyword(s):  
Classification System ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Group Classification ◽  
High Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Group 4 ◽  
Group 10 ◽  
Group 2

Abstract Background Cesarean section (CS) is an important indicator of access to, and quality of maternal health services. The World Health Organization recommends the Robson ten group classification system as a global standard for assessing, monitoring and comparing CS rates at all levels. This study aimed to assess the rate of CS and perform an analysis based on Robson classification system. Methods A facility-based cross-sectional study was conducted at a tertiary hospital in Addis Ababa, Ethiopia. Data were collected from medical charts of all women who delivered from January-June 2018. The overall CS rate was calculated then women were categorized into one of the ten Robson groups. Relative size of each group, contribution of each group to the overall CS rate, and CS rate within each group were calculated. Results A total of 4,200 deliveries were analyzed. Of these 1,459 (34.7%) were CS. The largest contributors to the overall CS rate were Group 10 (19.1%), Group 2 (18.3%), Group 5 (17.1%), and Group 4 (15.8%). There was also a high rate of pre-labor CS in Group 2, Group 4, and Group 10. Conclusion Through implementation of the Robson ten group classification system, we identified the contribution of each group to the overall CS rate as well as the CS rate within each group. Group 10 was the leading contributor to the overall CS rate. This study also revealed a high rate of CS among low-risk groups. These target groups require more in-depth analysis to identify possible modifiable factors and to apply specific interventions to reduce the CS rate. Evaluation of existing management protocols and further studies into indications of CS and outcomes are needed to design tailored strategies and improve outcomes.

scholarly journals Analysis of cesarean section rates using Robson Ten Group Classification System in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

2020 ◽  
Author(s):  
Ferid A. Abubeker ◽  
Biruck Gashawbeza ◽  
Thomas Mekuria Gebre ◽  
Mekitie Wondafrash ◽  
Alula M. Teklu ◽  
...  
Keyword(s):  
Classification System ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Group Classification ◽  
High Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Group 4 ◽  
Group 10 ◽  
Group 2

Abstract Background: Cesarean section (CS) is an important indicator of access to, and quality of maternal health services. The World Health Organization recommends the Robson ten group classification system as a global standard for assessing, monitoring and comparing CS rates at all levels. This study aimed to assess the rate of CS and perform an analysis based on Robson classification system.Methods: A facility-based cross-sectional study was conducted at a tertiary hospital in Addis Ababa, Ethiopia. Data were collected from medical charts of all women who delivered from January-June 2018. The overall CS rate was calculated then women were categorized into one of the ten Robson groups. Relative size of each group, contribution of each group to the overall CS rate, and CS rate within each group were calculated.Results: A total of 4,200 deliveries were analyzed. Of these 1,459 (34.7%) were CS. The largest contributors to the overall CS rate were Group 10 (19.1%), Group 2 (18.3%), Group 5 (17.1%), and Group 4 (15.8%). There was also a high rate of pre-labor CS in Group 2, Group 4, and Group 10.Conclusion: Through implementation of the Robson ten group classification system, we identified the contribution of each group to the overall CS rate as well as the CS rate within each group. Group 10 was the leading contributor to the overall CS rate. This study also revealed a high rate of CS among low-risk groups. These target groups require more in-depth analysis to identify possible modifiable factors and to apply specific interventions to reduce the CS rate. Evaluation of existing management protocols and further studies into indications of CS and outcomes are needed to design tailored strategies and improve outcomes.

scholarly journals Analysis of caesarean sections using Robson 10-group classification system in a university hospital in eastern Ethiopia: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. e020520 ◽  
Author(s):  
Abera Kenay Tura ◽  
Olga Pijpers ◽  
Myrna de Man ◽  
Myrthe Cleveringa ◽  
Ingeborg Koopmans ◽  
...  
Keyword(s):  
Classification System ◽  
Cross Sectional Study ◽  
Group Classification ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia

scholarly journals Analysis of cesarean section rates using Robson ten group classification system in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ferid A. Abubeker ◽  
Biruck Gashawbeza ◽  
Thomas Mekuria Gebre ◽  
Mekitie Wondafrash ◽  
Alula M. Teklu ◽  
...  
Keyword(s):  
Classification System ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Group Classification ◽  
High Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Group 4 ◽  
Group 10 ◽  
Group 2

Abstract Background Cesarean section (CS) is an important indicator of access to, and quality of maternal health services. The World Health Organization recommends the Robson ten group classification system as a global standard for assessing, monitoring and comparing CS rates at all levels. This study aimed to assess the rate of CS and perform an analysis based on Robson classification system. Methods A facility-based cross-sectional study was conducted at a tertiary hospital in Addis Ababa, Ethiopia. Data were collected from medical charts of all women who delivered from January-June 2018. The overall CS rate was calculated then women were categorized into one of the ten Robson groups. Relative size of each group, contribution of each group to the overall CS rate, and CS rate within each group were calculated. Results A total of 4,200 deliveries were analyzed. Of these 1,459 (34.7%) were CS. The largest contributors to the overall CS rate were Group 10 (19.1%), Group 2 (18.3%), Group 5 (17.1%), and Group 4 (15.8%). There was also a high rate of pre-labor CS in Group 2, Group 4, and Group 10. Conclusion Through implementation of the Robson ten group classification system, we identified the contribution of each group to the overall CS rate as well as the CS rate within each group. Group 10 was the leading contributor to the overall CS rate. This study also revealed a high rate of CS among low-risk groups. These target groups require more in-depth analysis to identify possible modifiable factors and to apply specific interventions to reduce the CS rate. Evaluation of existing management protocols and further studies into indications of CS and outcomes are needed to design tailored strategies and improve outcomes.

A Cross-Sectional Study to Evaluate Adherence to the Ten Steps to Successful Breastfeeding at a Referral Hospital in Rwanda

2018 ◽  
Author(s):  
Janvier Hitayezu ◽  
David Ntirushwa ◽  
Jean Claude Ntiyamira ◽  
Jeannette Kayitesi ◽  
Rose Mary Murungi ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Referral Hospital ◽  
Sectional Study ◽  
Cross Sectional
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