COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 14th April 2020. As a result, our offices will now be closed till 14th April 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Article view: 133

Article download: 85

Indian Journal of Obstetrics and Gynecology Research


Analysis of cesarean sections using Robsons classification system in a tertiary hospital in New Delhi


Full Text PDF Share on Facebook Share on Twitter


Research Article

Author Details : Arpita De*, Reva Tripathi, Neha Gupta

Volume : 7, Issue : 1, Year : 2020

Article Page : 7-11


Suggest article by email


Abstract

Objective: To analyze cesarean section rates using Robsons 10 group classification system in a tertiary
hospital over a period of five years (July 2014-Dec 2018).
Main outcome: To analyze the main contributors of cesarean sections based on the ten groups under
Robsons classification and to further analyze the main indications of cesareans in the relevant groups.
Results and Discussion: All women with one or more previous cesareans with cephalic presentation
(group V) contributed to the maximum number of cesareans, (32.5%), closely followed by group I (22.86%)
and group IIA (10.25%). 31.65% of the total cesareans were elective cases, 17.23% were in women with
inductions and 51.1% of the cesareans were in spontaneously laboring women.
Robsons Ten Group Classification system (TGCS) found to be easy to understand, clear, mutually
exclusive, reproducible system for classifying cesareans in all levels of Institutions. Among women who
had elective cesareans, maximum were done in those in Group V who were not willing for TOLAC or those
who has previous two cesareans. In spontaneously laboring women, 34% were due to meconium stained
liquor and 32.9% were due to fetal distress, thus leaving a huge scope for reduction in cesarean rates.
Conclusion: All institutions should routinely monitor cesareans based on Robsons TGCS to monitor
time trends and for interinstitutional comparisons. Interventions should be targeted at maximizing normal
deliveries, reducing primary cesareans and offering TOLAC where possible. There should be institutional
protocols for defining indications like fetal distress, nonprogress of labour, failed induction and protocols
for their managements

Keywords: Cesarean rate reductions, Robsons classification, Ten Group classification system.

Doi : 10.18231/j.ijogr.2020.002

How to cite : Arpita De, Tripathi R, Gupta N, Analysis of cesarean sections using Robsons classification system in a tertiary hospital in New Delhi. Indian J Obstet Gynecol Res 2020;7(1):7-11

Copyright © 2020 by author(s) and Indian J Obstet Gynecol Res. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)