Publication:

Changing trends over 5 years in indications of caesarean section as per Robson’s group classification in a tertiary care centre

Background Caesarean section is the most common obstetric operation that saves lives of countless mother and babies.  However, its inappropriate usage may also be a reason for circumstantial increase in maternal and perinatal morbidities and mortalities. Aim of this study was to examine Changing trends in indications of Cesarean delivery rates based on Robson’s groups classification in the Department of Obstetrics and Gynecology, MLN Medical College, Prayagraj over 5-year period.

Methods Our study was a retrospective observational study over 5 years (January 1, 2016 to December 31, 2020) period in Department of Obstetrics and Gynecology, SRN Hospital, MLN Medical College, Prayagraj. All women who came to SRNH labor room for delivery during the duration of study. All vaginal deliveries including operative vaginal deliveries and all C section done after 28weeks of pregnancy. Analysis of C section indication according to Robson Classification.

Results There were 10,332 vaginal deliveries and 5306 cesarean deliveries during this 5 year of study period. The 5-year overall CSR of our tertiary care hospital was 33.9 %, which varied from 38 % in 2016 and has steadily fallen to 26.8 % in 2019-2020. Robson’s group one had the maximum number of subjects (n = 3800), out of which 37% (n =1441) had cesarean section followed by group 3, of which, 15 % (n = 546) underwent cesarean section.

Conclusions The ten-group classification relies on well-defined parameters, and it may well be easily applied to the present dataset of 15638 deliveries. It helped to spot the main groups of subjects who contribute most to the overall CS rate. It also aided to identify subgroups which required closer monitoring for in-depth investigation of the indications for cesarean section. It is important to target the first four groups of TGCS which constitute about 75 % of all deliveries.