scholarly journals The Ten-Group Robson Classification: A Single Centre Approach Identifying Strategies to Optimise Caesarean Section Rates

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Keisuke Tanaka ◽  
Kassam Mahomed
Keyword(s):  
Caesarean Section ◽  
World Health Organization ◽  
World Health ◽  
Single Centre ◽  
Robson Classification ◽  
Nulliparous Women ◽  
Group 5 ◽  
Definition Of ◽  
Health Organization ◽  
Failure To Progress

Caesarean section (CS) rates have been increasing worldwide and have caused concerns. For meaningful comparisons to be made World Health Organization recommends the use of the Ten-Group Robson classification as the global standard for assessing CS rates. 2625 women who birthed over a 12-month period were analysed using this classification. Women with previous CS (group 5) comprised 10.9% of the overall 23.5% CS rate. Women with one previous CS who did not attempt VBAC contributed 5.3% of the overall 23.5% CS rate. Second largest contributor was singleton nulliparous women with cephalic presentation at term (5.1% of the total 23.5%). Induction of labour was associated with higher CS rate (groups 1 and 3) (24.5% versus 11.9% and 6.2% versus 2.6%, resp.). For postdates IOL we recommend a gatekeeper booking system to minimise these being performed <41 weeks. We suggest setting up dedicated VBAC clinic to support for women with one previous CS. Furthermore review of definition of failure to progress in labour not only may lower CS rates in groups 1 and 2a but also would reduce the size of group 5 in the future.

Robson Classification and quality audit

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gehanath Baral
Keyword(s):  
Cesarean Section ◽  
World Health Organization ◽  
Real Time ◽  
Perinatal Outcome ◽  
World Health ◽  
Related Factors ◽  
Quality Audit ◽  
Robson Classification ◽  
Health Organization

World Health Organization has recommended Robson Classification from baseline obstetric characters to assess, monitor and compare Cesarean Section rates by the quantity analysis. Incorporation of real time labor related factors requires quality audit for both maternal and perinatal outcome.

Kısa Cinsel Refah Ölçeğinin Türkçe Sürümü [Turkish Version of the Short Sexual Well-Being Scale]

2021 ◽  
Author(s):  
Rafał Gerymski ◽  
Ezgi Nur Güvem
Keyword(s):  
Psychometric Properties ◽  
World Health Organization ◽  
Sexual Satisfaction ◽  
Well Being ◽  
World Health ◽  
Psychometric Validation ◽  
Turkish Version ◽  
The World ◽  
Definition Of ◽  
Health Organization

Sexual well-being is often mistakenly operationalized simply as sexual satisfaction. The concept of sexual well-being has been often used as an umbrella term for positive aspects of sexuality, apart from its negative spheres. A new concept of sexual well-being was proposed in line with the World Health Organization (WHO) definition of sexual health. The definition tried to enrich the concept of sexual well-being, but it did not solve the problem of its operationalization. Two separate studies were conducted for the psychometric validation of the Short Sexual Well-Being Scale. Short Sexual Well-Being Scales shows good psychometric properties in its original version. These properties are yet unknown for the its Turkish translation.

HUBUNGAN PENYEDIAAN AIR BERSIH DI PERMUKIMAN DENGAN KEJADIAN DIARE DI DUSUN SUCEN, KECAMATAN TRIHARJO, KABUPATEN SLEMAN, YOGYAKARTA

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Eva Runi Khristiani
Keyword(s):  
World Health Organization ◽  
Physical Development ◽  
World Health ◽  
Definition Of ◽  
Health Organization

AbstractThe definition of sanitation according to World Health Organization an effort ofknowledge in all humanphysical factors that may cause the thingsthat have been binding with the physical development of the health and endurance. Diarrhea is a condition where a person defecating with softorliquid consistency, evensometimes can be form as water aloneandits frequencyis moret han three times in a day  0.000. The results shows that p < 0.05, which means there is a relationship between the utilization of family latrine with diarrhea.

Assessment of Post Exposure Prophylaxis (PEP) in Omdurman Voluntary Counselling and Testing Center (OVCTC)

2020 ◽  
Vol 3 (1) ◽  
pp. 836-849
Author(s):  
MUSA Basheer MANSOUR ◽  
Sara Elsheikh Ahmedana
Keyword(s):  
Side Effects ◽  
World Health Organization ◽  
Secondary Data ◽  
World Health ◽  
Post Exposure Prophylaxis ◽  
Age Group ◽  
Surgical Equipment ◽  
Needle Stick ◽  
Group 5 ◽  
Health Organization

PEP is taking human immunodeficiency virus medicine (HIV) within 72 hours after possible exposure to HIV to prevent the occurrence of the disease. Significance: exposure to the needle, surgical equipment, and rape is a life-threatening condition for hepatitis B virus (HBV), hepatitis C virus (HCV), HIV, acquired immunodeficiency syndrome (AIDS) infection, tetanus, and syphilis. The objective of this study was to assess the PEP. Methods: It was a descriptive-analytical study in OVCTC in September 2008. 30 patients in study as the whole number. We included all patients attending the OVCTC and potential exposed either occupationally or through sexual intercourse and received antiretroviral therapy (ARV) agents as prophylaxis All cases diagnosed as HIV/AIDS and all persons need counseling were excluded in this study. Secondary data were collected from the records of the patients in OVCTC. Ethical considerations and clearance were taken from OVCTC and patients. It was accepted by the director. Results: In these study 30 cases fully described from the record and part of them were interviewed. Most cases (13) 43% in the age group 26 -35 years and the minority (2) 6% in age group (5 -15 years) and (2) 6% in age group (46-55years). Male (17)56.6% and Female (13)43.4%. Single (14) 46.6%, married (14)46.6%, widow (1)3.3% and divorced (1)3.3%. Most of them (21),70% are the health care professional, (27) 90% are educated and (26)86.3%lived in Khartoum. The equipment of exposure (28)93.3% due to needle stick, (1)3.3% due to rape and (1)3.3% due to rosary. (16)53.3%were expose in 2007, (12)40% in 2008 and (2)6.6% in 2006. All of them started needle stick protocol. The baseline of HIV testing is negative in all. All of them started Duovir according to world health organization guidelines and non-reported side effects or complications. Conclusion: Although PEP is offered in OVCTC according to world health organization (WHO) guidelines, pre and post-test counseling, ARV prophylaxis, and counseling including ARV side effects; the outcome is good, although the patients are not adherent to schedule follow-up in the center.

Reflection on the definition of impairment and disability as defined by the World Health Organization

1995 ◽  
Vol 17 (3-4) ◽  
pp. 119-127 ◽  
Author(s):  
J. W. Brandsma ◽  
K. Lakerveld-Heyl ◽  
C. D. Van Ravensberg ◽  
Y. F. Heerkens
Keyword(s):  
World Health Organization ◽  
World Health ◽  
The World ◽  
Definition Of ◽  
Health Organization

scholarly journals Usefulness of Robson classification system to analyze caesarean section deliveries: a hospital based study

2020 ◽  
Vol 6 (1) ◽  
pp. 38-44
Author(s):  
Tshering Tamang ◽  
Jigme Dema ◽  
Sonam Pelden ◽  
Phuntsho Choden
Keyword(s):  
Caesarean Section ◽  
Classification System ◽  
Primary Objective ◽  
Referral Hospital ◽  
World Health ◽  
Delivery Methods ◽  
Robson Classification ◽  
Increased Risk ◽  
Tertiary Hospitals ◽  
Health Organization

Introduction: World Health Organization recommends using the Ten-group Robson classification as a standard for assessing and reducing caesarean section (CS) rates. Our study aimed at analyzing CS deliveries using this system with the primary objective of examining the driving factors of increased risk for caesarean delivery. Methods: A retrospective observational study was conducted in Mongar Regional Referral Hospital from 1st January 2016 to 31st December, 2018 recruiting all institutional deliveries and classifying each of them into 10 groups of Robson classification system based on six obstetric variables. Results: There were 2337 deliveries, of which 804 were CS, contributing to a rate of 34.4%. More than three fourth (78.9%) of caesarean deliveries occurred in Groups 5, 4, 2 and 1. Previous CS was the highest contributor of CS rate and the most common indication. Conclusion: Higher CS rate has been observed in our referral hospital, contributed largely by women with previous CS, induced labour and pre-labour CS. There is a need for implementation of Robson classification system in all tertiary hospitals.

Sign in / Sign up

Export Citation Format

Share Document