Online ISSN: 2515-8260

TRENDS IN CESAREAN SECTION OVER A DECADE BASED ON MODIFIED ROBSON’S CLASSIFICATION IN A TERTIARY CARE CENTRE OF SOUTH GUJARAT

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Dr. Dankhara Shruti Manjibhai, Dr Ragini Verma, Dr Vijyeta Jagtap

Abstract

Introduction: The WHO considers the ideal rate of caesarean sections to be between 10% -15%. The idea is to have a classification system to help monitor and compare CS rates across hospitals, countries and continents and help understand where it is necessary to reduce CS rates(1). The classification should help to understand what groups of women undergo CS and give reason for rising trends. It should be applicable internationally, reliable, and verifiable, clinically relevant and consistent. After analyzing and understanding on who, when, how, why and where CS are performed it then becomes possible to implement strategies targeting high risk groups and then possibly reduce or increase CS rates in order to improve maternal and fetal well being . The Robson classification is such a tool focusing on parity, gestational age, previous CS, onset of labour, fetal lie and presentation and number of fetuses. This forms 10 groups, that are mutually exclusive and totally inclusive. Every women coming to a hospital for delivery can be assigned to one of the groups(2). The use and benefits of Robson classification has been shown in many studies. They show that a system to classify and observe CS can help identify the group of women who need to be focused on in order to only perform CS on the women who really need it and subsequently lowering the rates(3).

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