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Updated: Jun 7, 2025

External Cephalic Version: Is it an Effective and Safe Procedure?
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Analysis of Cesarean Section Ratios by Robson Classification.

Mehmet Ferdi Kinci1, Burcu Kasap2, Melike Nur Akin2

  • 1Obstetrics and Gynecology, İzmir Bayraklı City Hospital, İzmir, Turkey.

Journal of Obstetrics and Gynaecology of India
|November 21, 2024
PubMed
Summary

Cesarean section (CS) rates in Türkiye are high, with Robson groups 9, 5, 7, and 8 showing the highest rates. This study highlights the need for active birth management to reduce CS rates.

Keywords:
Cesarean SectionRobson 10-Group Classification SystemVaginal Birth

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Surgical Outcomes Research

Background:

  • Cesarean section (CS) is a prevalent surgical procedure globally and in Türkiye.
  • The Robson 10-Group Classification System (TGCS) standardizes CS indications.
  • High CS rates necessitate evaluation and intervention strategies.

Purpose of the Study:

  • To analyze Cesarean section (CS) rates using the Robson 10-Group Classification System (TGCS).
  • To identify specific Robson groups contributing most to the CS rate.
  • To provide data for strategies aimed at reducing CS rates.

Main Methods:

  • Retrospective study of deliveries between January 1, 2019, and July 31, 2022.
  • Data collected from Muğla University Education and Research Hospital.
  • Classification of deliveries according to the Robson 10-Group Classification System (TGCS).

Main Results:

  • Out of 4889 deliveries, 3177 (64.98%) were CS.
  • Highest CS ratios observed in Robson groups 9 (100%), 5 (99.34%), 7 (97.56%), and 8 (96.92%).
  • Robson groups 5, 1, and 2 contributed most numerically to CS numbers.

Conclusions:

  • The clinic's CS rate exceeds the Turkish mean and WHO recommendations.
  • Referral of complicated pregnancies to the university hospital influences CS rates.
  • Active birth management and behavioral changes are recommended to reduce CS rates.