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A Cross Sectional Study of Robsons 10 Group Classification and its Impact on Caesarean Section Rate

Nitin Kshirsagar , Indrajeet Bhosale1 , Nitin Kshirsagar2 , Moulika Shah3

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Indian Journal of Obstetrics and Gynecology 7(3 ):p 175-181, July-September 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7319.18

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Indrajeet Bhosale, Nitin Kshirsagar, Moulika Shah. A Cross Sectional Study of Robsons 10 Group Classification and its Impact on Caesarean Section Rate. Indian J Obstet Gynecol. 2019;7(3):475–481.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Ensuring safe pregnancy and motherhood occupies a pivotal role and is considered as one of the key issues in the framework of Reproductive and Child Health program. Cesarean section continues to be one of the most important surgical interventions performed in obstetric practice. Implementation of Robson’s 10 group classification system in various institute, corporate hospitals, tertiary care centers and in various hospital settings will help in knowing exact number of caesarean section rate and limiting the rate of caesarean section in various groups and focus on those group in reducing the caesarean section rate. This classification system will provide the backbone for yearly audits of hospitals. It will help to set up new protocol for hospital settings. Materials and methods: All pregnant patients coming in the maternity ward for admission were examined. After taking thorough history, examinations of patients were done. Patients were followed during course of labor. Patients who underwent caesarean sections were classified according to Robson’s 10 group of classification Results: Analysis based on Robsons classification showed that Group 5 made the greatest contribution in C sections rate. Group 1 and Group 2 made second and third highest contribution in C section rate as per nulliparous patients Further more we analysed Group 5 almost 85% of women undergone C sections for previous C sections Group 9 has 100% C section rate Conclusions: Group 1 and Group 2 which consists of nulliparous patents with either spontaneous or induced labour is having more caesarean section rate. More focus should be on these groups to reduce primary caesarean section rate.

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Indrajeet Bhosale, Nitin Kshirsagar, Moulika Shah. A Cross Sectional Study of Robsons 10 Group Classification and its Impact on Caesarean Section Rate. Indian J Obstet Gynecol. 2019;7(3):475–481.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7319.18

Keywords

Caesarian section; Rabson’s classification; Pregnancy; Safe delivery.

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