Cesarean Section Rates Assessed Using the Robson Ten-Group Classification System: A Retrospective Observational Study...

Area of Science:

• Obstetrics and Gynecology
• Public Health
• Health Services Research

Background:

• Rising cesarean section (CS) rates in tertiary hospitals require standardized evaluation methods.
• The Robson Ten-Group Classification System (TGCS) offers a reproducible framework for analyzing CS trends based on obstetric characteristics.

Purpose of the Study:

• To audit CS rates in a tertiary care hospital in Eastern Uttar Pradesh using the Robson TGCS.
• To classify deliveries by Robson groups and describe their relative size and contribution to the institutional CS rate.

Main Methods:

• Retrospective observational study of 954 deliveries from August 2022 to July 2023.
• Classification of all women into Robson's 10 groups.
• Descriptive analysis of overall CS rate and group-wise contributions with 95% confidence intervals.

Main Results:

• Overall CS rate was 61.1%, with previous CS being the most common indication (24.7%).
• Robson Group 5 was the largest contributor to the CS rate (32.4%).
• Groups 1 and 2 had substantial relative sizes and contributed significantly to the CS rate (20.9% each).

Conclusions:

• The Robson TGCS provides a structured method for monitoring CS distribution in tertiary care settings.
• Identifying major contributing Robson groups can inform institutional audits and strategies for optimizing CS practices.