Comparing Rates of Trial of Labour Attempts, VBAC Success, and Fetal and Maternal Complications Among Family Physicians and Obstetricians

Russillo, Balbina; Sewitch, Maida; Cardinal, Linda; Brassard, Normand

doi:10.1016/s1701-2163(16)32735-9

Cited by 19 publications

(15 citation statements)

References 10 publications

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“…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). If we compare our results to the results of other studies, group 5, generally shows unsatisfying results.…”

Section: Discussionmentioning

confidence: 86%

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: Discussionmentioning

confidence: 86%

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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“…Successful vaginal birth after caesarean section (VBAC) with strict monitoring protocols would give a percentage of 67%, comparable to international standards. 16 In group 6-10 although the CS rate was high, it was mostly due to unavoidable obstetric indications. Other studies also show similar high incidence in this group.…”

Section: Discussionmentioning

confidence: 94%

Analysis of caesarean section rates using Robsons ten group classification: the first step

Koteshwara

Sujatha

2017

Int J Reprod Contracept Obstet Gynecol

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Background:The Caesarean section (CS) rate is steadily increasing worldwide including India. The overall CS rates are reported but rarely the women are classified. According to WHO Robson ten -group classification is useful as a global standard for assessing, monitoring and comparing cesarean section rates. Our objective was to classify women delivering in our hospital according to various categories as per the 10-group classification (Robsons classification) and analyzing the CS rate in each group. Methods: This was a cross sectional study conducted at JSS Medical College, Mysore. The data was collected for all women delivering in hospital from January 2016-December 2016 and the women were classified according to Robsons 10 group classification. The proportion of women delivering in each group, the CS rate of each group, and the relative contribution to CS rate from each group was calculated. Results: Among a total of 5016 women delivering during the study period 37.65% of women were delivered by CS. Maximum no of pregnant women belonged to primigravida group (group 1 and 2). Major contributor to CS rate were primigravida (group 2) at 32.2%. Next contributors were group 5 and group 1 at 28.9 % and 18.6% respectively. Overall the three groups 1, 2 and group 5 contributed to 79.7% of the CS rate while the other group contributed to only 21.3% of CS rate. Conclusions: Applying Robsons criteria to classify pregnant women allowed for easy classification to identify the category of women most likely to have CS. Reducing primary CS rate and increasing VBAC rates will help to reduce CS rate.

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“…presence of obstetricians, number of births a year, number of beds), with intermediate or high ‘degree of obstetrical and neonatal specialization’, with a female physician, with an obstetrician rather than a GP, in hospitals with lower overall CS rates, and in hospitals with more than 50 births per year. Conversely, Russillo et al. (2008) found that women under the care of a family physician were much more likely to attempt a VBAC (81% vs. 51%) and were more likely to be successful (76% vs. 64%).…”

Section: Methods Of Reviewmentioning

confidence: 89%

“…2007, Chang et al. 2008, Russillo et al. 2008) (seven cohort and one before and after study) assessed the impact of hospital/clinician characteristics on the attempted and successful VBAC rate.…”

Section: Methods Of Reviewmentioning

confidence: 99%

Non-clinical interventions that increase the uptake and success of vaginal birth after caesarean section: a systematic review

Catling

Johnston

Ryan

et al. 2011

Journal of Advanced Nursing

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Comparing Rates of Trial of Labour Attempts, VBAC Success, and Fetal and Maternal Complications Among Family Physicians and Obstetricians

Cited by 19 publications

References 10 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

Analysis of caesarean section rates using Robsons ten group classification: the first step

Non-clinical interventions that increase the uptake and success of vaginal birth after caesarean section: a systematic review

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