CLASSIFICATION OF CAESAREAN SECTION THROUGH ROBSON CRITERIA: AN EMERGING CONCEPT TO AUDIT THE INCREASING CAESAREAN SECTION RATE IN A TERTIARY CARE RURAL TEACHING HOSPITAL

Abstract

Background: The proportion of caesarean sections at the population level is a measure of the level of access to and use of this intervention. Over the last few years, governments and clinicians have expressed concern about the rise in the numbers of caesarean section births and the potential negative consequences for maternal and infant health. There is a lack of a reliable and internationally accepted classication system to produce standardized data, enabling comparisons across populations and providing a tool to investigate drivers of the upward trend in caesarean section. Among the existing systems used to classify caesarean sections, the 10-group classication (also known as the 'Robson classication') has become widely used in many countries in recent years,thereby allowing a comparison of caesarean section rates with fewer confounding factors. In the present study, all cases delivered by cesarean sectionMethods: during the period of six months were recorded and classied according to Robson's 10 group classication system. Results: Overall, CS rate calculated for our hospital in this specied period was 36.6%, There was a trend of increased percentage of cesarean section in group 5 and 8 respectively in present study. Even though the overall CS rate in the study is notConclusions: high as compared to other Indian or International studies, it is important that efforts to reduce the overall CS rate should focus on reducing the primary CS rate. More analytical studies based on Robson's 10-group classication are needed locally, to evaluate the indications of CS within each group.