[Classification of caesarean sections by 10 Robson groups in a second level hospital]

Area of Science:

• Obstetrics and Gynecology
• Public Health
• Maternal-Fetal Medicine

Context:

• Alarming rise in cesarean section (CS) rates globally.
• The World Health Organization (WHO) recommends the Robson classification system for analyzing CS indications.
• Need for targeted strategies to reduce unnecessary CS.

Purpose:

• To classify cesarean sections using the Robson classification system at Hospital General de Zona No. 4 in Celaya, Guanajuato.
• To analyze CS indications and identify key contributing groups within the Robson classification.
• To inform strategies for reducing CS rates.

Summary:

• A retrospective study of 160 women undergoing CS analyzed data using the Robson classification system.
• Robson group 5 (previous CS) accounted for 42.5% of cases, followed by group 2 (primiparous) at 20.6%.
• Cluster analysis identified three main groups, with Robson group 5 being prominent in two clusters.

Impact:

• Highlights the significant contribution of women with previous CS to the overall CS rate.
• Emphasizes the need for interventions promoting vaginal birth after cesarean (VBAC) to reduce primary CS rates.
• Suggests that addressing primary CS in groups 1 and 2 may prevent future CS in group 5.