Trend analysis of caesarean sections using modified Robson's classification in a teaching institution in Uttarakhand.

Area of Science:

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

Background:

• Rising global caesarean section (CS) rates pose significant risks to maternal and infant health.
• Increased CS rates are linked to higher maternal morbidity and mortality in subsequent pregnancies.
• Standardized auditing systems are essential for analyzing and controlling CS trends.

Purpose of the Study:

• To analyze and evaluate the trend of caesarean sections (CS) in a teaching institution.
• To assess the effectiveness of the Modified Robson's Ten Group classification system (RTGCS) in auditing CS trends.
• To identify the primary indications contributing to the caesarean section rate.

Main Methods:

• A cross-sectional study was conducted from October 2022 to March 2023.
• Data from 260 women undergoing elective or emergency CS were analyzed.
• The Modified Robson's Ten Group classification system (RTGCS) was used to categorize CS indications.

Main Results:

• The overall CS rate was 31.4%.
• Major contributors to CS included Group 2 (21.5%), Group 10 (21.5%), and Group 5 (20.7%).
• Primary indications for CS were prior Lower Section Caesarean Section (LSCS) (24.6%) and fetal distress (19.2%).

Conclusions:

• The Modified Robson's Ten Group classification system (RTGCS) is an effective tool for auditing caesarean sections.
• Implementing RTGCS can help prevent unnecessary procedures and improve maternal care.
• Auditing CS rates is crucial for addressing the increasing prevalence and improving maternal and fetal outcomes.