Cesarean Section Rate according to Rhobson system classification at Qena University Hospitals

Document Type : Original research articles

Authors

Obstetrics and Gynecology Department, Faculty of Medicine, South Valley University, Qena, Egypt

Abstract

Background: The Robson Ten-Group Classification System categorizes pregnancies based on various factors. Global CS rates are increasing annually. Egypt has a high CS rate of 51.8%, ranking third globally.
Objectives: To analyze CS rates using the 10-group classification and devise strategies to reduce high CS rates.
Patients and methods: We conducted a cross-sectional study of 2000 patients at Qena University Hospital, from March 2022 to February 2023. Inclusion criteria involved females giving birth, categorized into Robson's 10 classes. Data collected included parity, prior delivery method, previous CS, gestational age, labor onset, and Robson classification. Comprehensive patient assessments were conducted.
Results: Significant differences (P<0.0001) in age, gestational age, Cesarean sections (CS), parity, and mode of delivery among the ten groups were observed, highlighting diverse group profiles. Group 4 had the highest average age (31.22years), Group-1 the youngest (22.29years), Group-3 the lowest gestational age (38.59weeks), and Group-10 the highest (34.5weeks). Also there was significant difference among groups regarding robson classification data (P<0.0001).
Conclusion: In summary, group five after that, group ten, and two among the ten groups according to the Rhobson system classification had the highest total CS rates, the highest total number of women delivered, and the largest contribution to the overall CS rate in Qena University Hospital.

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