en Obstetrics and Gynecology Obstetrics and Gynecology پژوهشي Original Research <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:14.0pt"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif">Background:</span></span></b><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif"> 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.</span></span></span></span></span></span><br /> <span style="font-size:11pt"><span style="line-height:14.0pt"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif">Methods:</span></span></b><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif"> 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.</span></span></span></span></span></span><br /> <span style="font-size:11pt"><span style="line-height:14.0pt"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif">Results:</span></span></b><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif"> 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.</span></span></span></span></span></span><br /> <span style="font-size:11pt"><span style="line-height:14.0pt"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif">Conclusion:</span></span></b><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,serif"> 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.</span></span></span></span></span></span></div> Caesarean section, Caesarean section rates, Maternal care, Pregnancy, Robson classification, Ten-Group Classification System (TGCS) 28 36 http://caspjrm.ir/browse.php?a_code=A-12-163-2&slc_lang=en&sid=1 Moushmi Parpillewar Tadas moushmitadas@yahoo.com 10031947532846002529 10031947532846002529 Yes Department of Obstetrics and Gynecology, Government Medical College and Hospital, Nagpur, Maharashtra state, India