Volume 11, Issue 1 (6-2025)
Caspian J Reprod Med 2025, 11(1): 28-36 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Tadas M P. Analysis of caesarean sections using the Robson Ten Group Classification System: A retrospective study at a tertiary care center in Central India
. Caspian J Reprod Med 2025; 11 (1) :28-36
URL: http://caspjrm.ir/article-1-265-en.html
URL: http://caspjrm.ir/article-1-265-en.html
Department of Obstetrics and Gynecology, Government Medical College and Hospital, Nagpur, Maharashtra state, India , moushmitadas@yahoo.com
Abstract: (1108 Views)
Background: The Robson Ten-Group Classification System (TGCS), introduced by Robson in 2001, standardizes the assessment of caesarean section (CS) rates to improve maternal care quality. This study evaluates CS rates, identifies high-contributing groups, and compares findings with other studies using TGCS.
Methods: This retrospective study, conducted from December 2021 to April 2022 at a tertiary referral center in Central India, analyzed hospital records of all women who delivered during the period. Cases were categorized using the TGCS based on obstetric characteristics.
Results: Of 4,384 deliveries, 2,097 were CS, yielding a CS rate of 47.83%. Group 2 (nulliparous, singleton, cephalic, term, induced labor or pre-labor CS) contributed the most (12.75%), followed by Group 5 (previous CS, singleton, cephalic, term; 11.83%) and Group 1 (nulliparous, singleton, cephalic, term, spontaneous labor; 7.2%). Breech presentations (Groups 6 and 7) accounted for 1.98% and 1.04%, while Groups 8 (multiple pregnancies) and 9 (abnormal lies) contributed 0.98% and 0.79%, respectively.
Conclusion: The dominance of Groups 2 and 5 as contributors to the CS rate highlights the need for targeted interventions, such as optimizing labor induction protocols and promoting vaginal birth after cesarean (VBAC) where clinically appropriate. The high CS rate in Group 1 suggests potential overuse, which could be addressed through standardized protocols for intrapartum management. These findings can guide policymakers in monitoring trends and developing strategies to address rising CS rates.
Methods: This retrospective study, conducted from December 2021 to April 2022 at a tertiary referral center in Central India, analyzed hospital records of all women who delivered during the period. Cases were categorized using the TGCS based on obstetric characteristics.
Results: Of 4,384 deliveries, 2,097 were CS, yielding a CS rate of 47.83%. Group 2 (nulliparous, singleton, cephalic, term, induced labor or pre-labor CS) contributed the most (12.75%), followed by Group 5 (previous CS, singleton, cephalic, term; 11.83%) and Group 1 (nulliparous, singleton, cephalic, term, spontaneous labor; 7.2%). Breech presentations (Groups 6 and 7) accounted for 1.98% and 1.04%, while Groups 8 (multiple pregnancies) and 9 (abnormal lies) contributed 0.98% and 0.79%, respectively.
Conclusion: The dominance of Groups 2 and 5 as contributors to the CS rate highlights the need for targeted interventions, such as optimizing labor induction protocols and promoting vaginal birth after cesarean (VBAC) where clinically appropriate. The high CS rate in Group 1 suggests potential overuse, which could be addressed through standardized protocols for intrapartum management. These findings can guide policymakers in monitoring trends and developing strategies to address rising CS rates.
Keywords: Caesarean section, Caesarean section rates, Maternal care, Pregnancy, Robson classification, Ten-Group Classification System (TGCS)
Type of Study: Original Research |
Subject:
Obstetrics and Gynecology
Received: 2025/05/9 | Accepted: 2025/06/22 | Published: 2025/06/24
Received: 2025/05/9 | Accepted: 2025/06/22 | Published: 2025/06/24
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
