Cesarean section rates in Lithuania using Robson Ten Group Classification System

Barčaitė, Eglė; Kemeklienė, Gintarė; Railaitė, Dalia Regina; Bartusevičius, Arnoldas; Maleckienė, Laima; Nadišauskienė, Rūta Jolanta

doi:10.1016/j.medici.2015.09.001

Cited by 32 publications

(39 citation statements)

References 15 publications

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“…As showed in our study, when analysing the CS rates, the main contributing groups to overall CS rate were group 5,1 and 2, giving contribution rate of 71,64%, which is similar to other studies (3,12,17,18), although they make just 18,82% of all deliveries as we can see in picture 2.…”

Section: Discussionsupporting

confidence: 91%

“…When compared with other studies internationally, almost all studies convayed comparable results in groups 6-10 (3,12, 17). …”

Section: Discussionmentioning

confidence: 56%

“…By analysing CS rates, the main contributing groups to overall CS rate were group 5 (previous CS) giving the highest contribution, 29,80% of all CS which is simillar to other autors (17,18), and lower than in some studies (12). Out of 331 women with praevious CS 275 (83,08%) were delivered by repeated CS, vaginal birth after CS (VBAC) had 56(16,92%) women wich is highest rate than in others studies (12, 19), and not comparable to international standards (20).…”

Section: Discussionmentioning

confidence: 76%

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Cesarean Section Rate Analysis in University Hospital Tuzla - According to Robson's Classification

Fatusic

Hudić

Fatušić

et al. 2016

Med Arh

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Objective:For last decades, there has public concern about increasing Cesarean Section (CS) rates, and it is an issue of international public health concern. According to World Health Organisation (WHO) there is no justification to have more than 10-15% CS births. WHO proposes the Robson ten-group classification, as a global standard for assessing, monitoring and comparing cesarean section rates. The aim of this study was to investigate Cesarean section rate at University Hospital Tuzla, Bosnia and Herzegovina.Methods:Cross sectional study was conducted for one-year period, 2015. Statistical analysis and graph-table presentation was performed using Excel 2010 and Microsoft Office programs.Results:Out of 3,672 births, a total of 936 births were performed by CS. Percentage of the total number of CS to the total birth number was 25,47%. According to Robson classification, the largest was group 5 with relative contribution of 29,80%. On second and third place were group 1 and 2 with relative contribution of 26,06% and 15,78% respectively. Groups 1, 2, 5 made account of realtive contribution of 71,65%. All other groups had entirely relative contribution of 28,35%.Conclusion:Robson 10-group classification provides easy way in collecting information about CS rate. It is important that efforts to reduce the overall CS rate should focus on reducing the primary CS. Data from our study confirm this attitude.

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Section: Discussionsupporting

confidence: 91%

“…When compared with other studies internationally, almost all studies convayed comparable results in groups 6-10 (3,12, 17). …”

Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 76%

See 1 more Smart Citation

Cesarean Section Rate Analysis in University Hospital Tuzla - According to Robson's Classification

Fatusic

Hudić

Fatušić

et al. 2016

Med Arh

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“…16 The cesarean rate in both Brazil and the private sector in Australia has in fact been found to be high or around 47%. [2][3][4][5][6]13,15,17 In countries with lower cesarean rates such as The Netherlands (16%), France (21%), or the Nordic countries (15%-21%), the cesarean rate in group 5 has been found to be around 40%-60%, 7,8,14 which is similar to that observed in our study. In France, the relative size of group 2b was 1.5% and the size of group 4b was 0.7%.…”

Section: Discussionsupporting

confidence: 89%

“…2 The size of group 5 is usually related to the overall cesarean rate, and if this group is large or over 15%, it could mean that the cesarean rate is high in that particular setting. [2][3][4][5][6]13,15,17 The cesarean rate in this group was noticeably lower in our study at 55.5%. 2,4 Our study also indicated that Robson groups 2b and 4b, planned cesarean at term, were relatively small at 0.3% and 0.7%.…”

Section: Discussioncontrasting

confidence: 55%

The Robson 10‐group classification in Iceland: Obstetric interventions and outcomes

Einarsdóttir

Sigurðardóttir

Bjarnadóttir

et al. 2019

Birth

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Background Rising cesarean rates call for studies on which subgroups of women contribute to the rising rates, both in countries with high and low rates. This study investigated the cesarean rates and contributing groups in Iceland using the Robson 10‐group classification system. Methods This study included all births in Iceland from 1997 to 2015, identified from the Icelandic Medical Birth Registry (81 839). The Robson distribution, cesarean rate, and contribution of each Robson group were analyzed for each year, and the distribution of other outcomes was calculated for each Robson group. Results The overall cesarean rate in the population was 16.4%. Robson groups 1 (28.7%) and 3 (38.0%) (spontaneous term births) were the largest groups, and groups 2b (0.4%) and 4b (0.7%) (prelabor cesareans) were small. The cesarean rate in group 5 (prior cesarean) was 55.5%. Group 5 was the largest contributing group to the overall cesarean rate (31.2%), followed by groups 1 (17.1%) and 2a (11.0%). The size of groups 2a (RR 1.04 [95% CI 1.01‐1.08]) and 4a (RR 1.04 [95% CI 1.01‐1.07]) (induced labors) increased over time, whereas their cesarean rates were stable (group 2a: P = 0.08) or decreased (group 4a: RR 0.95 [95% CI 0.91‐0.98]). Conclusions In comparison with countries with high cesarean rates, the prelabor cesarean groups (singleton term pregnancies) in Iceland were small, and in women with a previous cesarean, the cesarean rate was low. The size of the labor induction group increased, yet the cesarean rate in this group did not increase.

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Use of the 10‐Group Classification System to analyze how the population control policy change in China has affected cesarean delivery

Zhang

Wang

et al. 2017

Intl J Gynecology & Obste

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Cesarean section rates in Lithuania using Robson Ten Group Classification System

Cited by 32 publications

References 15 publications

Cesarean Section Rate Analysis in University Hospital Tuzla - According to Robson's Classification

Cesarean Section Rate Analysis in University Hospital Tuzla - According to Robson's Classification

The Robson 10‐group classification in Iceland: Obstetric interventions and outcomes

Use of the 10‐Group Classification System to analyze how the population control policy change in China has affected cesarean delivery

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