Analysis of caesarean section rates according to Robson's ten group classification system at a tertiary care teaching hospital in South India

Abstract

Background: Robson’s ten-group classification system (RTGCS) is recommended by WHO as an analytical tool for effective monitoring of caesarean section (CS) rates. The overall CS rates are high but seldom, women are classified based on CS.Methods: Data was collected and reviewed retrospectively. All the pregnant women who delivered from January 2016 to December 2017 in the labour ward were classified according to RTGCS.Results: Total of 2951 women delivered- 1598 (54.15%) vaginally and 1353 (45.84%through CS. In this study, Group 5 was the largest contributor (30.08%), group 1 was second (28.15%).Conclusion: Reviewing the definition of failure to progress in labour and changing norms of fetal distress may lower CS rates in groups 1, 2 and5. RTGCS proves to be an effective tool that allows standardized comparison of data, time point and identifies the groups responsible for rising CS rates.