ANALYSIS USING THE ROBSON TEN GROUP CLASSIFICATION SCHEME: A COMPREHENSIVE STUDY

Main Article Content

Raishem
Aneela Gul Shaikh
Kinzah Imtiaz
Saira Bano
Kausar Parveen
Kanta Bai Ahuja

Keywords

Robson's Ten-Group Classification, C-section, pregnant women

Abstract

Background: The global rate of cesarean sections (C-sections) has nearly doubled in the last 15 years. Previously, experts estimated that 10 to 15% of births required a C-section due to difficulties that could endanger the mother's or baby's lives, but rates currently surpass 30% in several countries around the world. However, CSs are sometimes used even when indications like obstructed labor or intact membranes are uncertain or equivocal. While CSs are regarded as life-saving procedures, they pose dangers to present and future pregnancies, including increased maternal morbidity and mortality. Although several standards propose a 15% cesarean section rate, meeting this aim has been difficult.


Objective: To perform an analysis utilizing the Robson ten group classification scheme


Study design: cross sectional study


Place and Duration: This study was conducted in Peoples University of Medical and Health Sciences Nawabshah from March 2023 to March 2024


Methodology: All the patients who were a part of this study were women who were admitted for C-section deliveries during the time period of this research. Medical and non-medical information were treated with strict confidentiality. Demographic information was collected. Demographic information such as age, previous birth technique, parity, gestational age, fetal presentation, number of fetuses, past cesarean section, and associated symptoms were collected. A preset form was used to record information on fetal outcomes such as birth weight, APGAR score, and fetal abnormalities. All cesarean deliveries were divided into ten categories using Robson's Ten Group Classification System.


Results: There were a total of 300 women selected to be a part of this study. All the women were admitted for either emergency or elective C-section deliveries. The mean age was 30.5 years. The women’s ages ranged from 18 years to 40 years. The mean gestational age was 38.5 weeks with gestational age ranging from 33 to 42 weeks.


Conclusion: Robson's Ten-Group Classification revealed that the most common categories among cesarean deliveries were Group-5, Group-2, and Group-1.

Abstract 0 | pdf Downloads 0

References

1. Mushtaq N, Ehsan A, Zubair M, Shabir N, Adnan Z, Zubair H. Analysis of C-Section According to Robson Criteria of C-section. Journal of The Society of Obstetricians and Gynaecologists of Pakistan. 2023 Sep 20;13(3):207-11.
2. Malla RV, Hamal C, Neupane B, Khatri R. Analysis of cesarean section using Robson’s 10-group classification at a tertiary level hospital in Nepal. Med J Shree Birendra Hosp. 2018 Jul 25;17(2):4-11.
3. Waheed K, Ahsan A, Tahseen H, Khokhar S, Khurshid HN. Analysis of Caesarean Sections Using Robson 10 Group Classification System. Journal of The Society of Obstetricians and Gynaecologists of Pakistan. 2023 Sep 20;13(3):356-60.
4. Jayaprakash M. TMC (Thrissur Medical College) modified Robson criteria for caesarean sections. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017 Nov 1;6(11):5039.
5. Bhati I, Jha A, Agarwal N. A New Way of Evaluating Cesarean Section Birth: The Robson’s Ten Group Classification System. Journal of South Asian Federation of Obstetrics and Gynaecology. 2016 Jul;8(3):212-6.
6. Jamwal D, Sharma P, Mehta A, Pannu JS. Analysis of caesarean sections using Robson's classification system in a tertiary care centre in Northern India: an emerging concept to audit the increasing caesarean section rate. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2021 Jun 1;10(6):2281-6.
7. Jain R, Joshi V. Analysis of the cesarean section using Robson’s ten-group classification system-a way of monitoring obstetric practice. The New Indian Journal of OBGYN. 2022;9(1):71-.
8. Afridi SA, Ahmad K, Sultana R. Analysis Of Caesarean Sections Rates Using Robson's Ten Group Classification System, Unit B Mchc, Ath Abbottabad. Journal of Ayub Medical College Abbottabad-Pakistan. 2022 Jul 1;34(3).
9. Bhatt M, Kadikar G, Parmar DC, Kanani M. Retrospective study of cesarean section by using the Robson's ten group classification system. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018 Mar 1;7(3):1054-8.
10. Janani L, Christina S, Akoijam BS, Nameirakpam D, Laiphrakpam RS. Analysis of cesarean section rates and its indications using robson's classification at a tertiary care hospital, Manipur. Indian Journal of Public Health. 2022 Oct 1;66(4):434-8.
11. Tura AK, Pijpers O, de Man M, Cleveringa M, Koopmans I, Gure T, et al. Analysis of caesarean sections using Robson 10-group classification system in a university hospital in eastern Ethiopia: a cross sectional study. BMJ Open. 2018;8:e020520.
12. Malla RV, Hamal C, Neupane B, Khatri R. Analysis of caesarean section using Robson’s 10-group classification at a tertiary level hospital in Nepal. Med J Shree Birendra Hosp. 2018;17(2):4-11.
13. Pravina P, Ranjana R, Goel N. Cesarean Audit Using Robson Classification at a Tertiary Care Center in Bihar: A Retrospective Study. Cureus. 2022;14(3):e23133.
14. Janani L, Christina S, Akoijam BS, Nameirakpam D, Laiphrakpam RS. Analysis of cesarean section rates and its indications using robson's classification at a tertiary care hospital, Manipur. Indian J Public Health. 2022;66(4):434-8.
15. Khowaja B, Mughal FB, Valliani K. The Factors Influencing CesareanSection Rates-A Narrative Review from Pakistan. Pak J Med Res. 2021;60(3):143-7.
16. World Health O. Robson classification: implementation manual. (Accessed on 6th June 2021) Available from URL:https://www.who.int/ reproductivehealth/publications/maternal_perinatal_health/robsonclassification/en/
17. Abubeker FA, Gashawbeza B, Gebre TM, Wondafrash M, Teklu AM, Degu D, et al. Analysis of cesarean section rates using Robson ten group classification system in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study. BMC Pregnancy Childbirth. 2020;20:767.
18. Yadav RG, Maitra N. Examining Cesarean Delivery Rates Using the Robson's Ten-group Classification. J Obstet Gynaecol India. 2016;66(Suppl 1):1-6.
19. Afridi F, Akhtar Z, Afridi A, Qazi Q, Naib JM. Determining the indications of c- section based on who robson classification—an experience in a tertiary care hospital in Peshawar. J Med Sci 2022;30(2):143-6.
20. Betran AP, Ye J, Moller AB, Zhang J, Gulmezoglu AM, Torloni MR. The increasing trend in caesarean section rates: Global, regional and national estimates: 1990-2014. PLoS ONE. 2016;11(2):e0148343