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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
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.
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.
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