Smrithi, M (2022) Analysis of Caesarean Section Rate based on Robson’s Ten Group Classification. Masters thesis, Madras Medical College, Chennai.
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Abstract
BACKGROUND: In both the developing countries and in developed countries, caesarean section is increasing in the past few decades. Previous caesarean section, fetal distress, elderly primigravida, increasing labour induction, maternal request, multiple pregnancy all tend to increase the rate of caesarean section. Complications like placenta previa, placenta accrete and uterine rupture are common after a caesarean section. This increasing trend is not understood because of the lack of internationally standardized classification system. The Robson's Ten Group Classification System (RTGCS) classifies the caesarean section into various groups. High Caesarean section (CS) percentage can be identified through the RTGCS and also it can be used as a tool for tracking and comparison for long term. This method is one of the simple ways to collect the data which is already available in medical records. Thus this study is performed mainly to classify the Caesarean sections into ten groups and compare it with the Robson guidelines. AIM OF THE STUDY: To classify women into groups based on Robson’s classification and compare the rates with the Robson’s guidelines. METHODOLOGY: A cross sectional study, was conducted among 1032 women with gestational age more than 28 weeks including both normal delivery and caesarean section, alive or dead with or without malformations. Obstetric information like parity, mode of previous deliveries, previous caesarean section, gestational age, onset of labour - spontaneous or induced, fetal presentation, number of fetuses were recorded which was then classified into Robson’s ten groups. RESULTS: Majority of the study participants underwent Caesarean section 585 (56.7%). More number of cesarean sections were done in Group 5 (17.8%) followed by Group 2 (12.5%). In Group 9 and Group 6, all the women underwent C section. According to Robson's classification Group 1 should be less than 10% but in our study population it is more 39.2%. In group 2 the CS rate was 54.2% which is also higher as it should range from 20-35% according to Robson. In Group 3 the CS rate was found to be 16.6% and in Group 4 it is found to be 31.25% which is higher than the robson where the Group 3 should be < 3% and Group 4 < 15%. In group 5 the CS rate is 98.92% which is higher compared to the robson where it should be 50-60% . In Group 8 the CS rate is found to be 73.91% which is higher where it should be around 60%. In Group 10 it is of 63.25% which is to be around 30%. The most common indication for Caesarean section in our study population is previous LSCS (40.6%) followed by fetal distress (32%). CONCLUSION: This classification is used for collecting information with ease regarding the Caesarean section rate and we can also change practice if used continuously.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221916897 |
| Uncontrolled Keywords: | Analysis, Caesarean Section Rate, Robson’s Ten Group Classification. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 17 Apr 2022 07:07 |
| Last Modified: | 27 Nov 2023 10:26 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19307 |
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