Caeserian Section Rates Analysed Using Robson’s Classification System: A Retrospective Study at a Tertiary Care Hospital in Eastern Odisha

Introduction: As the safety of operative deliveries has improved, Caesarean section rates have been steadily increasing across the world. A look at a center’s caesarean section rate will show preventable reasons for the rising issue. A Caesarean section is normally performed to ensure the mother’s and child’s safety when obstetric complications are present.

The aim of this retrospective analysis was to analyse the indications for caesarean deliveries over a one-year period from June 18, 2017 to June 17, 2018, using Robson’s Ten Group Classification System, and to identify the preventable causes of caesarean section.

Methods: All patients who gave birth during this time span were tracked down using the labour room delivery register. During the analysis of their reports, age, parity, risk factors, mode of delivery, intrapartum injuries, and indications of caesarean section were all taken into account.

Robson’s Ten Group Classification System was used to categorise the data, which was entered into an Excel spreadsheet.

During the study period, the rate of Caesarean section was 52.7 percent. Group 3 (10.11%) had the fewest Caesarean sections, while Group 6 had the most (92.68 percent ). Group 2 contributed the most to the overall Caesarean section average (23.93 percent ). In Group 2, analysis of indications revealed that Oligohydramniosis and Post-ART pregnancies were the two modifiable indications with the most lax Caesarean section decisions.

Conclusion: Interventions to minimise the caesarean section rate should concentrate on primigravida admitted to the hospital for safe containment, i.e. not in labour. Interference in oligohydramniosis and post-ART pregnancies at the hospital needs to be checked. Strict policy guidelines on labour induction protocols and labour trials in cases of previous caesareans will help to improve the situation.

Author (s) Details

Tapasi Pati
Department of Obstetrics and Gynaecology, IMS & SUM Hospital, Siksha O Anusandhan Deemed to be University, K8, Kalinga Nagar, Bhubaneshwar, Odisha, India.

Satyabhama Marandi
Department of Obstetrics and Gynaecology, IMS & SUM Hospital, Siksha O Anusandhan Deemed to be University, K8, Kalinga Nagar, Bhubaneshwar, Odisha, India.

Sanjukta Mohapatra
Department of Obstetrics and Gynaecology, IMS & SUM Hospital, Siksha O Anusandhan Deemed to be University, K8, Kalinga Nagar, Bhubaneshwar, Odisha, India.

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