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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Assessing Postpartum Readmission Rates and Associated Risk Factors Using the Robson Classification: A Single-Center

Zvi Ehrlich1, Shirley Shapiro1, Tzuria Peled1

  • 1Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9103102, Israel.

Journal of Clinical Medicine
|March 14, 2026
PubMed
Summary
This summary is machine-generated.

Postpartum readmission rates vary significantly by Robson Group classification. High-risk groups include transverse lie, multifetal pregnancies, and breech presentations, often requiring interventions to reduce readmissions.

Keywords:
Robson classificationcesarean sectionmaternal complicationsneonatal complicationsreadmission

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Health Services Research

Background:

  • Postpartum maternal readmission poses a significant burden on patients and healthcare systems.
  • Readmission rates are key indicators of quality of care and inform interventions.
  • Robson Group classification, initially for cesarean sections, is now used for other obstetrical outcomes.

Purpose of the Study:

  • To describe postpartum maternal readmission rates across Robson Group classifications.
  • To identify risk factors for readmission within different maternity groups.
  • To inform targeted interventions for reducing postpartum readmissions.

Main Methods:

  • Retrospective register-based cohort study of 296,768 deliveries over 18 years.
  • Classification of deliveries into the 10 Robson Groups.
  • Analysis of postpartum readmission rates within 42 days and indications using logistic regression models.

Main Results:

  • Overall postpartum readmission rate was 0.5%.
  • Highest readmission risks were observed in Robson Group 9 (transverse lie, 1.9%), RG 8 (multifetal pregnancies, 1.9%), RG 7 (multiparous breech, 1.2%), and RG2 (nulliparous, induction/prelabor CS, 1.2%).
  • Fever was the most common readmission indication (61.4%).

Conclusions:

  • Postpartum readmission rates differ significantly among Robson Groups.
  • Higher-risk groups are associated with operative delivery, prolonged labor, or malpresentations.
  • Interventions like external cephalic version, vaginal breech delivery, and management of multifetal pregnancies may reduce readmissions.