Cesarean section rate assessment through Robson criteria in a tertiary care hospital

Abstract

Objectives: To find out the cesarean section rate after categorizing the patient according to Robson criteria in tertiary care hospital in view of increased cesarean section rate in past decade.

Methods: it was a retrospective observational study conducted in l Hayatabad medical complex Peshawar from 2016 till 2018.in this study all cases  admitted to the labour room during the period of three years were recorded and classified according to Robson’s  system. The main objective was to find out that which group has contributed most to the cesarean deliveries.

Results: The total number of deliveries over this period in the hospital was 3051 out of which cesarean sections were 766, which makes the rate of cesarean section 25%.Group 1and group 2 contributed almost 10 %, while group 7and 8 contributed 5%, and group 3 and group10 contributed 9% and 8% respectively. Highest contribution is made by group5 which is 22% followed by group 4 which is almost 18%. Least contributors were group 6 and 9, which is 4%.

Conclusion: according to this study group 5 contributed the highest number, which is the group of multiparous women with previous 1 uterine scar. It means that indication for the first ever caesarian section should be critically reviewed and must be discussed with senior experienced obstetrician to decrease the number of women in-group 5.Patient should be encouraged for vaginal delivery after caesarian section and indications for caesarian section should be audited regularly to decrease the number of overall caesarian sections.