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Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-2 | Issue-06 | 144-149
Original Research Article
Analysis of Caesarean Delivery at Tertiary Care Hospital Using the Robson’s Ten Group Classification System (RTGCS)
Paramjeet Kaur, Parneet Kaur, Rama Garg, Balwinder Kaur, Manjit Kaur Mohi, Avneet Kaur
Published : June 23, 2019
DOI : 10.36348/sijog.2019.v02i06.001
Abstract
Introduction: Increase in caesarean section rates up to 10-15% at the population level are associated with decreases in maternal, neonatal and infant mortality Above this level, increasing the rate of caesarean section is no longer associated with reduced mortality. WHO proposes the Robson’s classification system as a global standard for assessing, monitoring and comparing caesarean section rates within healthcare facilities. Aims and Objectives: Aim of the study was to know the caesarean section rate in our institution and to evaluate the distribution of caesarean deliveries according to Robson’s Ten Group Classification System. Material and Methods: A prospective and observational study was conducted in the department of Obstetrics and Gynecology at GMC and Rajindra Hospital, Patiala. The study included all the women delivered by caesarean section from the period January 2016 to December 2016. The result obtained was analyzed to see and compare the caesarean section rate for the various contributing groups. Results: Caesarean delivery rate was found to be 40.49%. Maximum number of caesarean deliveries were contributed by Group 5 i.e. 26.51% followed by Group 10 (21.76%), Group 1 (19.87%) and Group 6 (6.78%). The main indication for caesarean delivery at our institution was repeat caesarean delivery (36.29%) followed by fetal distress (26.71%). Conclusion: Major contributing groups, Group 5, Group 10, Group 1 and Group 6 needs to be targeted to bring down the caesarean rate
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