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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.
Introduction:
The cesarean section (CS) rate is steadily rising in developed and developing nations. While CS is often perceived as a life-saving intervention, it comes with associated dangers for both the present and future pregnancies. The Robson criteria classify CS into 10 groups with further sub-divisions based on the gestational age, various pregnancy categories, prior obstetrical records, and the progress of labor and delivery.
Methods:
This retrospective record review was conducted at Aga Khan University Hospital in Karachi, Pakistan. A non-probability consecutive sampling method was employed to enroll all 1198 pregnant women who underwent CS delivery between July 1st and December 31st, 2022.
Results:
A total of 2616 deliveries were performed during the study period; among these, 1198 (45%) were delivered by CS. Out of 10 groups of Robson Criteria, Group 5 emerged as the primary contributor to the overall CS rate, making up approximately 34.3% of cases, followed by Group 10, which contributed to 28.5% of cases. Group 2 contributed 16.4% of cases in total, with subgroup 2A constituting 12% of the overall rates, and Group 1 was found to be the fourth contributing category (5.1%), succeeded by Group 6 (4.9%), Group 4 (3.9%), and Group 8 (3.4%).
Conclusion:
The Modified Robson Criteria was found to be an effective and easy-to-comprehend tool, which assists in monitoring the indications of CS and aids in devising strategies to reduce its rates in clinical practice.
