Ananda Kumari Matangi, Padma Leela Kotipalli, Sri Veda Priya Banavath, Jyothsna Rani Dasi
BACKGROUND Nowadays, caesarean section has become rampant in obstetric practice. There has been a dramatic increase in caesarean section rate all over the world over the last two decades and presently exceeds 30% in some regions. It is highly crucial that auditing to be done to review the caesarean section rate for standardization of obstetric care in terms of caesarean section. WHO proposed the Robson’s ten group classification system as a global standard for analysing and comparing caesarean section rates. The aim of our study is to stratify patients undergoing caesarean section into Robson’s ten group classification system and analyse the caesarean section rates. MATERIALS AND METHODS This is a prospective observational study done at Government Victoria Hospital, a teaching hospital of Andhra Medical College, Visakhapatnam, from August 2017 to October 2017 and women undergoing vaginal delivery or caesarean section during this period were allocated into each group of Robson’s ten group classification and results analysed. RESULTS The caesarean section rate in our study was 37.1%. The highest contribution was by Group 5, that is 38.9%, followed by Group 2, accounting for 24.5% of caesarean sections followed by Group 1, which was accounting for 13.9% of caesarean sections. CONCLUSION The use of Robson’s Ten Group Classification system becomes a useful tool for monitoring and analysing caesarean section rates. The highest incidence of caesarean section rate was observed in Group 5, followed by Group 2, and then, Group 1. Hence, measures taken to reduce the incidence of primary caesarean section rate can to certain extent reduce the overall caesarean section rate.
