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Investigating Cesarean Section Trends: A Study Using the Modified Robson Classification in a Tertiary Care Setting
Hiba Arshad1, Zahid H Wadani1, Zunaira Kamal1
1Obstetrics and Gynaecology, Aga Khan University Hospital, Karachi, PAK.
Cureus
|December 2, 2024
Summary
The cesarean section (CS) rate is high, with Robson Criteria Group 5 being the largest contributor. The Modified Robson Criteria effectively monitors CS indications to help reduce rates.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Maternal-Fetal Medicine
Background:
- Cesarean section (CS) rates are increasing globally.
- While CS is life-saving, it poses risks to mothers and future pregnancies.
- The Robson criteria classify CS into 10 groups for analysis.
Purpose of the Study:
- To analyze cesarean section rates using the Robson criteria at Aga Khan University Hospital.
- To identify the leading contributors to the overall CS rate.
- To evaluate the Modified Robson Criteria's utility in monitoring and reducing CS rates.
Main Methods:
- Retrospective record review of 1198 women undergoing CS.
- Data collected at Aga Khan University Hospital, Karachi, Pakistan.
- Non-probability consecutive sampling from July 1 to December 31, 2022.
Main Results:
- 45% of 2616 deliveries were CS (1198 cases).
- Robson Criteria Group 5 was the primary contributor (34.3%), followed by Group 10 (28.5%).
- Group 2 (16.4%) and Group 1 (5.1%) were also significant contributors.
Conclusions:
- The Modified Robson Criteria is an effective tool for monitoring CS indications.
- This classification system aids in developing strategies to reduce CS rates.
- The criteria are easy to understand and implement in clinical practice.
