Application of the Robson classification in assessing cesarean section rates: an audit of a tertiary care hospital's gynecology department in Karachi, Pakistan.
Background: The rising rate of cesarean sections (CSs) has become a global concern due to its implications for maternal and neonatal health. The World Health Organization recommends that CS rates should not exceed 10–15% at the population level. However, many countries report rates well above this t...
| Publicado en: | Therapeutic Advances in Reproductive Health pp. 1 - 11 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
5/15/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185232166&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185232166 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26334941 N9DZ jtl: Therapeutic Advances in Reproductive Health issn: 26334941 maglogo: N pubinfo: dt: 5/15/2025 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 185232166 185232166 185232166 10.1177/26334941251339710 185232166 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Application of the Robson classification in assessing cesarean section rates: an audit of a tertiary care hospital's gynecology department in Karachi, Pakistan. aug: au: Abidi, Syed Muhammad Aqeel Hussain, Syeda Namayah Fatima Abbas, Shahida Abidi, Syeda Tayyaba Fatima Haresh, Sonia affil: Conceptualization, Department of Medicine and Surgery, Aga Khan University, Karachi 74800, Pakistan sug: subj: Cesarean Section Classification Cesarean Section Evaluation Audit Tertiary Health Care Gynecology Health Facility Departments Human Pakistan Female Adult Retrospective Design Record Review Descriptive Statistics Chi Square Test Regression Cesarean Section Adverse Effects Risk Assessment Breech Delivery Vaginal Birth Labor Maternal Health Services Adult: 19-44 years Female ab: Background: The rising rate of cesarean sections (CSs) has become a global concern due to its implications for maternal and neonatal health. The World Health Organization recommends that CS rates should not exceed 10–15% at the population level. However, many countries report rates well above this threshold. Objectives: To evaluate CS rates using the Robson Ten Group Classification System (TGCS) and identify the major contributing groups to develop targeted strategies for reducing unnecessary cesarean deliveries. Design: A retrospective clinical audit based on standardized classification and descriptive analysis. Methods: This retrospective audit was conducted using hospital delivery records from January 1st to December 31st, 2022, at the Department of Obstetrics and Gynecology, Holy Family Hospital, Karachi, Pakistan. All CSs were categorized into 10 groups using the Robson classification system. Descriptive statistics were used to determine group size, CS rate within each group, relative contribution to the overall CS rate, and absolute group contribution. Results: A total of 1464 deliveries occurred during the study period, including 507 CSs. Of these, 48.8% were elective and 51.2% were emergency CS. The major contributors to the CS rate were group 5 (51.9%), group 2 (18.5%), and group 10 (14.4%). The leading indications for cesarean delivery were previous CS (32.3%), non-progress of labor (21.15%), and cephalopelvic disproportion (16.92%). Conclusion: Targeted strategies such as promoting vaginal birth after cesarean, implementing standardized labor monitoring protocols, and strengthening antenatal counseling can help reduce unnecessary CS while maintaining maternal and neonatal safety. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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