IJSR - International Journal of Scientific Research

Dr. Garima Yadav; Dr. Preeti Sharma; Dr. Meenakshi Gothwal; Dr. Pratibha Singh; Dr. Priyanka Kathuria

Volume : VIII, Issue : VIII, August - 2019

Retrospective analysis of data of mothers delivering under various categories of Robsonâ€˜s classification in order to determine the trend of Caesarean Sections in a tertiary care hospital of western Rajasthan.

Dr. Garima Yadav, Dr. Preeti Sharma, Dr. Meenakshi Gothwal, Dr. Pratibha Singh, Dr. Priyanka Kathuria

Abstract :

AIM: Caesarean section(CS)is a component of Emergency Obstetric Care (EmOC) and this points towards the availability of caesarean section to prevent maternal and fetal morbidity and mortality. This paper aims to find the CS rate in a newly established tertiary care centre catering to high risk obstetric population. Methods: We conducted a retrospective study to examine caesarean delivery rates and trends at our department based on the Robson’s Ten Group Classification System, over a period of 1.5 years. Results: Overall caesarean section rate in our labour unit was 39.2%. Maximum number of women were present in Robson group 1 out of which 19.53% women had CS. Largest contribution to the total CS rate was by group 5, contributing 44.22%, which was also the second largest group. Caesarean section rate in group 5 was 87.74%. Most women in this group had CS before onset of labour (5 c category). VBAC rate at our centre was 12.2%. Third largest group of women were in Robson group 3 of which 4.8% underwent CS. Group CS rate for women in group 2A was high at 40.25%. Conclusion: Robson 10–group classification helps in internal auditing of one’s own institutional and labour room protocols in order to improve vaginal delivery rates especially in women who undergo induction of labour and trial of labour after caesarean section. Our study suggests that targeted focus on groups 1, 2 and 5 can lead to maximum effect on total caesarean section rates over time.