scholarly journals Classification of cesarean section through Robson criteria: an emerging concept to audit the increasing cesarean section rate

2018 ◽  
Vol 7 (11) ◽  
pp. 4674
Author(s):  
Anita Kant ◽  
Shweta Mendiratta
Keyword(s):  
Cesarean Section ◽  
Sedentary Lifestyle ◽  
Health Concern ◽  
Vaginal Birth After Cesarean ◽  
Public Health Concern ◽  
Cesarean Deliveries ◽  
Poor Tolerance ◽  
Group 5 ◽  
The Cost

Background: There has been an increase in rate of cesarean section over last five decades. This is a matter of international public health concern as it increases the cesarean section related maternal morbidity. The aim of the present study was to audit the increasing rate of caesarean section.Methods: In the present study, all cases delivered by cesarean section during the period of six months were recorded and classified according to Robson's 10 group classification system. This was an attempt to see which clinically relevant groups contributed most to the cesarean deliveries.Results: There was a trend of increased percentage of cesarean section in group 5 and 2 respectively in present study. Increasingly sedentary lifestyle and poor tolerance to pain are adding to cesarean delivery on maternal request.Conclusions: We should judiciously make use of vaginal birth after cesarean section but not at the cost of maternal or fetal health. Standardization of indication of cesarean deliveries, regular audits and definite protocols in                                                                                                                                                                                                                                                                                                                                 hospital will aid in curbing the rate of cesarean deliveries in hospitals.

scholarly journals Ways to Immune Your Finances from the Cost of Heart Disease and Cancer Treatment

2019 ◽  
Vol 8 (12S2) ◽  
pp. 43-46
Keyword(s):  
Public Health ◽  
Heart Disease ◽  
Critical Illness ◽  
Cancer Treatment ◽  
General Public ◽  
Health Concern ◽  
Insurance Policy ◽  
Public Health Concern ◽  
Questionnaire Method ◽  
The Cost

Threateningdiseases such as, cancer and heart disease are emerging as a major public health concern in India. This paper uses LANCET report to specify the background of heart disease and cancer in India. It also provides ways to transfer the out-of-pocket expenditure caused due to the diagnosis of such disease. Further it discusses about policies such as critical illness, heart and cancer insurance, heart insurance. This paper specifies different factors to be taken into consideration while purchasing a policy and assists in selecting the best insurance policy. To check the awareness among general public this paper uses a questionnaire, method to collect samples (of 417 members) and the results are interpreted accordingly. Finally, this paper also provides recommendations for Cancer Cover to make it more effective.

scholarly journals INDICATIONS OF CAESAREAN ACCORDING TO ROBSON’S CRITERIA

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Jayshree Vaghela ◽  
Dipti. C. Parmar
Keyword(s):  
Caesarean Section ◽  
Classification System ◽  
Health Concern ◽  
Robson Classification ◽  
Depth Analysis ◽  
Maternal Morbidity And Mortality ◽  
Poor Tolerance ◽  
Relevant Group ◽  
Recorded Data ◽  
The Cost

Introduction: There has been an increase in rate of caesarean section over past five decades. This is matter of public health concern as it increases the caesarean section related maternal morbidity and mortality. Asadvised by WHO guidelines and US health initiative C-section rate should not beyond 15%. According to NHFS-4 C-section rate in India 17.2%. The aim of present study aimed to assess the rate of CS and perform and analysis based on Robson classification system. Methods: In present study all the cases delivered by caesarean section during period of six months were recorded. Data were collected from medical records of women who delivered from October to march 2021.They were classified according to Robsons’10 group classification system. This was an attempt to see which relevant group contributed most to the c- section rates. Results: There was a trend of increased percentage of caesarean section in group5 patients in present study. Poor tolerance to pain and increased rate of previous c section contributes to this. Conclusion: We should make use of vaginal delivery after caesarean section but not at the cost of maternal and fetal health. These target groups require more in depth analysis to identify modifiable risk factors and apply specific intervention to reduce cs rates. Keywords: Indications, Caesarean, Robsons criteria.

Changing trends and indications for cesarean section in the last few decades

2014 ◽  
Vol 155 (29) ◽  
pp. 1140-1146 ◽  
Author(s):  
Sándor Nagy
Keyword(s):  
Cesarean Section ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Medical Liability ◽  
Optimal Management ◽  
Vaginal Birth After Cesarean ◽  
Cesarean Deliveries ◽  
Changing Trends ◽  
Primary Cesarean Delivery ◽  
Liability Claims

Cesarean section rates are increasing worldwide, which has been paralelled by an increase in primary cesarean delivery and decrease in vaginal birth after cesarean section. Behind the different frequencies there is a number of interrelated factors including advanced maternal age, increasing incidence of obesity, assisted reproductive technologies, and maternal request for non-medical reasons. The sub-optimal management of labor and the concerns about medical liability claims and litigations increase the number of abdominal deliveries. The author reviews the changing indications for cesarean deliveries in the last few decades and summarizes the effects on the obstetrical clinical practice. Orv. Hetil., 155(29), 1140–1146.

scholarly journals Rising trends of caesarean section in modern obstetrics: analysis by Robson classification

2020 ◽  
Vol 9 (11) ◽  
pp. 4468
Author(s):  
Shery Angel Rajakumar ◽  
Sindhura Myneni ◽  
Kamala Roshini M.
Keyword(s):  
Caesarean Section ◽  
Group Classification ◽  
Health Concern ◽  
Public Health Concern ◽  
Robson Classification ◽  
Obstetrics And Gynaecology ◽  
Group 3 ◽  
Group 5 ◽  
Group 2 ◽  
Group 1

Background: Rising caesarean section (CS) rates are a major public health concern worldwide. The main objective of our study was to analyse the CS rates according to Robson ten group classification system (TGCS).Methods: This was a retrospective study conducted in the department of obstetrics and gynaecology at Chettinad hospital and research institute, during a period of 5 years from May 2015 to April 2020. All the women who delivered by CS were included in the study. The data regarding parity, gestational age, onset of labour, number of foetuses and presentation was collected and classified according to Robson TGCS and analysed.Results: A total of 4199 women delivered during the study period. Out of 4199 women 2149 (51.18%) underwent CS. All the women who underwent caesarean section were classified according to Robson TGCS. Group 5 contributed the most (40.81%). Group 2 had the second highest contribution of 33.36%. Group 1 had 6.24%, group 3 and 4 contributed for 1.16% and 4.65% respectively. Group 6 and 7 had 2.84% and 1.68% respectively. Group 8 had 2.28%, group 9 had 0.23% and group 10 constituted 6.75%.Conclusion: As contribution of repeat CS is high among the overall CS rate it is important to reduce the primary CS rates. More analytical studies need to be done based on Robson TGCS to evaluate the indication of CS within each group.

What does robbery really cost? An exploratory study into calculating costs and ‘hidden costs’ of policing opioid-related robbery offences

2019 ◽  
Vol 21 (2) ◽  
pp. 116-129
Author(s):  
Aaron Mark ◽  
Andrew Whitford ◽  
Laura Huey
Keyword(s):  
Public Health ◽  
Resource Allocation ◽  
Exploratory Study ◽  
Health Concern ◽  
Public Health Concern ◽  
Public Discussion ◽  
Opioid Crisis ◽  
Nuanced Understanding ◽  
The Cost ◽  
Recent Attention

Recent attention on the opioid crisis has almost exclusively focused on this issue as a public health concern. Although we do not dispute this approach, we recognize that the opioid crisis in Canada has also generated significant policing costs—particularly in the form of robberies of pharmacies and other businesses. Much of this cost, we argue, remains unknown and/or hidden from public discussion. In this study, we present a more accurate costing of investigating robbery cases, by focusing on a series of opioid-related robberies committed by two individuals in London, Ontario. To calculate the costs, we sought to identify some of the hidden factors not commonly accounted for. Our results indicate that the cost of investigating a robbery case—from initial call to closing of the case—is comparable with previous estimates. However, as opioid-related pharmacies occur as a series of events, total costs are not insignificant. The results of this study have implications for resource allocation policies and highlight the need for a standard police costing metric and a more nuanced understanding of opioid addiction as a policing issue.

scholarly journals Analysis of cesarean deliveries in a tertiary hospital as per Robson ten group classification system

2019 ◽  
Vol 8 (5) ◽  
pp. 1868
Author(s):  
Bikram Bhardwaj ◽  
Sudhir Mansingh ◽  
Gunjan Rai
Keyword(s):  
Cesarean Section ◽  
Armed Forces ◽  
Fetal Distress ◽  
Tertiary Hospital ◽  
Cesarean Sections ◽  
Cesarean Deliveries ◽  
Number Of Patients ◽  
Group 5 ◽  
Labour Room ◽  
Near Future

Background: Cesarean section is the most commonly performed surgery in the department of gynecology. However, it has its own merits and demerits which affect the mother and the baby in the present as well as subsequent pregnancies. There is a rising trend of cesarean deliveries not only in India but worldwide. So, there is a dire need to audit these cesarean sections and make necessary recommendations accordingly to curb the rising incidence of cesarean deliveries in near future. Hence, the present study analysed the leading groups contributing to high cesarean rates at a tertiary hospital of Armed Forces using Robson ten group classification.Methods: This study was conducted in a Tertiary Hospital of Armed Forces at Chandigarh. All patients who delivered in this hospital between January 2016 to December 2018 were included in this study as per the Robson ten group classification.Results: number of patients who delivered during the time period January 2016 to December 2018 was 3136. Number of patients who delivered vaginally during the same period was 1865. Number of patients who delivered through cesarean section were 1271. Group 5 was the leading contributor to cesarean deliveries followed by groups 2 and 4 subsequently. However, there was significant contribution by group10 to the list.Conclusions: Groups 5, 2 and 4 are the leading contributors to cesarean sections at our institute. So, author need to introspect the labour room protocols and change our norms especially about fetal distress based on CTG monitoring and perform versions in mal-presentations if not contra-indicated to reduce cesarean section rates in near future. Even rising rates of cesarean section in elderly primis, patients conceived after infertility treatment and increasing trends of cesarean delivery on maternal request needs to be checked to reduce the rates of primary cesarean sections.

scholarly journals Ways to Immune Your Finances from the Cost of Heart Disease and Cancer Treatment

2019 ◽  
Vol 8 (12S2) ◽  
pp. 43-46
Keyword(s):  
Public Health ◽  
Heart Disease ◽  
Critical Illness ◽  
Cancer Treatment ◽  
General Public ◽  
Health Concern ◽  
Insurance Policy ◽  
Public Health Concern ◽  
Questionnaire Method ◽  
The Cost

Threateningdiseases such as, cancer and heart disease are emerging as a major public health concern in India. This paper uses LANCET report to specify the background of heart disease and cancer in India. It also provides ways to transfer the out-of-pocket expenditure caused due to the diagnosis of such disease. Further it discusses about policies such as critical illness, heart and cancer insurance, heart insurance. This paper specifies different factors to be taken into consideration while purchasing a policy and assists in selecting the best insurance policy. To check the awareness among general public this paper uses a questionnaire, method to collect samples (of 417 members) and the results are interpreted accordingly. Finally, this paper also provides recommendations for Cancer Cover to make it more effective.

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 HIV Prevention: The Key to Ending AIDS by 2030

2016 ◽  
Vol 10 (1) ◽  
pp. 65-77 ◽  
Author(s):  
Nana K. Poku
Keyword(s):  
Hiv Infections ◽  
Health Concern ◽  
Public Health Concern ◽  
Long Term Outcomes ◽  
Noticeable Improvement ◽  
Prevention Programmes ◽  
Cost Implications ◽  
The Cost ◽  
Biomedical Interventions

There is no viable substitute for re-energizing, funding and supporting culturally attuned, locally staffed HIV advocacy and prevention programmes, especially in resource poor settings. The evidence that such interventions are effective remains compelling; and although the cost implications are not negligible, the medium to long-term outcomes must be regarded not as complementary, but as integral, to biomedical interventions. The success of the anti-retroviral drugs upscale has enabled a noticeable improvement in AIDS related morbidity and mortality in the recent years; yet the underlying dynamics of the epidemic remains undetermined by the rate at which new infections are taking place in relation to the number of AIDS deaths. While the rate of new HIV infections is stabilising in some of the hardest hit countries, it remains far too high and the future cost of maintaining an ever-expanding pool of people reliant on daily drugs for survival is unsustainable. Countries must exercise caution in continuing to focus on treatment as a ‘quick fix’ to end AIDS as a public health concern. HIV is a socially culturally induced crisis and, as such, a variety of measures are needed simultaneously to appeal to different people, groups and circumstances.

Classification of Cesarean Sections in Small Private Maternity Hospitals as assessed by the Modified Robson Criteria (Canada)

2016 ◽  
Vol 8 (2) ◽  
pp. 107-112
Author(s):  
Kishore Bhanudasrao Atnurkar ◽  
Arun Ramkrishnarao Mahale
Keyword(s):  
Cesarean Section ◽  
Cesarean Section Rate ◽  
Cesarean Sections ◽  
Section Data ◽  
Maternity Hospitals ◽  
Multiparous Women ◽  
Group 5 ◽  
Previous Cesarean ◽  
Group 1

ABSTRACT Aims To assess 15 years’ cesarean section data from small private maternity hospitals by the Modified Robson Criteria (Canada). To identify the groups that need to be focused to reduce the cesarean section rate. Materials and methods Classification of 7,342 cesarean section cases carried out over a period of 15 years from different small private maternity hospitals run by a single obstetrician was done using the Modified Robson Criteria (Canada). The contribution made by each group and subgroup was studied. Results About 50% of cesarean section cases occur in groups 1 and 2. The second largest group was group 5 (28.61%). A little over three-fourth of the contribution (78.12%) was made by nulliparous and previous cesarean section cases done at term with cephalic presentation. About one-tenth of the total cases belonged to the group of multiparous women. Conclusion The Modified Robson Criteria give us more clarity and allow perfect targeting. It is necessary to target group 1, 2B, and 5C to bring down the cesarean section rate in private maternity hospitals as the total of these subgroups makes it to little over 60%. How to cite this article Atnurkar KB, Mahale AR. Classification of Cesarean Sections in Small Private Maternity Hospitals as assessed by the Modified Robson Criteria (Canada). J South Asian Feder Obst Gynae 2016;8(2):107-112.

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