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ORIGINAL ARTICLE
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Cesarean sections conducted in a tertiary care hospital – An analysis as per robson's ten group classification system


1 Department of Obstetrics and Gynaecology, INHS Asvini, Mumbai, Maharashtra, India
2 Department of Obstetrics and Gynaecology and Trained in ART, INHS Asvini, Colaba, Mumbai, Maharashtra, India

Correspondence Address:
Shilpa Asthana,
Department of Obstetrics and Gynaecology, INHS Asvini, Colaba, Mumbai - 400 005, Maharashtra
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_39_21

Background: Over a past few decades, there has been an increase in cesarean section (CS) rates globally. The exponential rise in CS is a major contributory factor in both maternal and fetal morbidities. It is important to assess, analyze, and audit cesarean section rate and its indications, in obstetric care delivery units existing in every health-care system. This study was conducted to audit the rate of CS in our institute with a focus to optimize the indications of CS with an aim to help in reduction in cesarean deliveries in future. Materials and Methods: This retrospective observational study was conducted over a period of 1 year in a large tertiary care hospital. All patients who underwent cesarean section were categorized according to Robson Ten group Classification system. Results: In this study, a total number of deliveries in the given time period were 1062, of which 455 (42.84%) underwent CS. Among the total CS, n = 237 (52.08%) were elective and n = 218 (47.91%) were emergency CS. The highest contribution to the CS, according to Robson's TGCS, was Group 5 and Group 2 in this study. Group 9 had the lowest contribution to CS rate. The most common indication for emergency CS was nonreassuring fetal heart rate (n = 76, 34.86%); however, post-LSCS pregnancy attributed (n = 132, 55.70%) to elective CS. A total number of CS performed at term were 402 (88.35%) and preterm CS conferred to 53 (11.65%). Conclusion: There exists a significant concern toward the overuse of CS. A definitive protocol and optimization of indications for primary CS along with clinical and administrative efforts would aid in minimizing the CS rate. Furthermore, it must be noted that every effort should be made toward provision of CS in women warranting it, rather than achieving specific target goal.


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