Analysis of Caesarean Section Rates According to Robson’s Ten Group Classification

Abstract

Background: With Caesarean section rates on the rise WHO proposes use Robson’s ten group classification to analyze and audit caesarean section rates. It is the starting point help to analyze and formulate strategies to reduce caesarean section rates.

Objective: To analysis caesarean section rates according to Robson’s ten group classification and clinically interpretation to formulate guideline to reduce caesarean section rate.

Materials and Methods: Retrospective study was conducted pregnant women, who delivered at Phayakkaphumpisai Hospital from 1 October 2010 to 30 September 2015. Data was analyzed by frequency, percentage, mean and standard deviation.

Result: Data were collected 4540 of pregnant women and found caesarean section rate was 31.8%. Caesarean rate contributed in group 2, group 5 and group 1 around 70% of all caesarean section. Cephalopelvic disproportion, previous CS and breech presentation were main indication for procedure.

Conclusions: Robson’s ten group classification is the easy tool to analyze caesarean section rates. To reduce caesearean section rates, should review definition of cephlopelvic disproportion and suitable induced labor.