DETERMINING THE INDICATIONS OF C SECTION BASED ON WHO ROBSON CLASSIFICATION—AN EXPERIENCE IN A TERTIARY CARE HOSPITAL IN PESHAWAR
Keywords:
C section rate, Robson groups, 10 group classificationAbstract
Objective: To determine the frequency of various groups of patients undergoing C section in a tertiary care hospital in Peshawar, using WHO Ten Group ROBSON Classification of C sections
Material and Methods: A descriptive cross-sectional study was conducted in the Gynae unit of the Department of Obstetrics and Gynaecology, Khyber Teaching Hospital Peshawar
from January - March 2019 on patients delivered in the facility. The patients were classified into 10 groups based on WHO Robson’s criteria and the C section rate determined in each group. The data was analyzed in MS excel.
Results: Out of the total 1364 deliveries during this period, 330 were by C sections, making the C section rate 24%. The biggest contributor to the overall C section rate was Group 5 (38%) followed by Group 2 (15%), Group 4 (12%), and Group 1 (11%).
Conclusion: Robson classification is a useful tool to classify and analyze C section rates. Although the rate of C sections in our setup is not very high, it can be further lowered by devising strategies to curtail sentinel C sections; and performing interventions like induction of labor and pre-labor C sections, only if they are evidence-based.
Key Words: C section rate, Robson groups, 10 group classification
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