Examining Caesarean Section Rates in Canada Using the Robson Classification System

Kelly, Sherrie L; Sprague, Ann E.; Fell, Deshayne B.; Murphy, Phil; Aelicks, Nancy; Guo, Yanfang; Fahey, John; Lauzon, Leeanne; Scott, Heather; Lee, Lily; Kinniburgh, Brooke; Prince, Monica; Walker, Mark

doi:10.1016/s1701-2163(15)30992-0

Cited by 102 publications

(89 citation statements)

References 37 publications

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“…In the study by Anagha A. Jinturkar and Dipti Dongaonkar, of previous caesarean, 74.4 % had repeat caesarean section [16]. In our study Group 1 had highest number of deliveries, in contrast to the study by Sherrie Kelly et al [17] that showed Group 1 had 23.6% but we had highest proportion of cases in group 1. It may be due to more than 50% women come to labour room directly who were unscheduled cases.…”

Section: Discussioncontrasting

confidence: 82%

“…Tahira Kazmi et al [18] in their study had maximum contribution of caesarean section from group 5 [18]. In our study, group 10 constitutes 9.1% of all deliveries but study by Sherrie Kelly et al [17] and Tahira Kazmi et al [18] showed group 10 constitutes only 5.6% and 1.8% respectively [18]. It may be because ours is a tertiary care well equipped centre with good Neonatal Intensive Care Unit facility.…”

Section: Discussionmentioning

confidence: 44%

“…In our study, the caesarean section rate in these 4 groups was 15.63%. Study by Kelly et al [17] it was 10.6% with caesarean section rate of 28.5 percent. In our study in group 5, women who were not willing to have VBAC were counselled in the best possible way to undergo VBAC.…”

Section: Discussionmentioning

confidence: 90%

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An Attempt to Control the Increasing Trend of Caesarean Section

Panda¹

2016

OGIJ

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Objective: To determine the groups using Robson classification within the obstetric population in our institute contributing substantially to the Caesarean section (CS) rate.Methods: All the women delivered in this hospital from January 2012 to January 2014 in were included in this study. The relative contribution of each group to the overall CS rate, relative size of group, and CS rate were calculated for the parturients according to Robson's Ten group classification. Results:The caesarean section rate in our study was 33.1%. Group 5 contributed the most (11.9%) (Previous CS). Group 1 (Nulliparous, Spontaneous Labor) had the second highest contribution that of 6.37% and Group 2 (Nulliparous, Induction) and group 3 (Multiparous, Spontaneous Labor) had almost similar contribution of 3.6% and 3.46%, respectively. On further analysis of group 5, 43.6% women had caesarean section because of previous scar (including not willing for VBAC, scar tenderness, and more than 2 scars). In our study group 10 (Preterm) constitutes 9.1% of all deliveries. Conclusion:Ten Group classification allows us to determine which target groups to investigate further to learn more about the underlying reasons for the differences in CS rates over time and potentially different places. In our study highest contribution of caesarean section came from group 5, which can be taken care of by avoiding primary caesarean sections.

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Section: Discussioncontrasting

confidence: 82%

Section: Discussionmentioning

confidence: 44%

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An Attempt to Control the Increasing Trend of Caesarean Section

Panda¹

2016

OGIJ

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“…The rate of caesarean section in this group (20.5%) is higher than those observed by Betrán et al [12] and Kelly et al [4], who found 12.6% and 13.19% respectively in Latin America and Canada. This difference could be put down to the fact that these are highly medicalized countries and the figures come from statistics at the country and continent levels.…”

Section: K Achille Et Al Open Journal Of Obstetrics and Gynecologycontrasting

confidence: 60%

How Referred Patients Influence Cesarean Sections Rate Pattern: Analysis according to the Robson Classification

Achille¹,

Didier²,

Charles³

et al. 2017

OJOG

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Objective: To improve the practice of cesarean section by analyzing the cesarean section according to Robson's classification. Methodology: This was a cross-sectional and descriptive study carried out at the University Hospital of Cocody. It covered the Cesarean sections performed during the year 2015 and ranked according to the 10 groups of Robson. Results: The overall Cesarean section rate in 2015 was 42.8% (3100 cesarean sections for 7229 deliveries). Group 1 was the largest contributor to overall Cesarean section with a rate of 20.5% followed by Group 3 (18.6%), Group 5 (16.4%) and Group 10 (12.2%), unlike other data in the literature where groups were in descending order Groups 5, 1, 3. This difference was driven by medical evacuations and our working conditions. Conclusion: The Cesarean section rate is constantly increasing in our department. Referred patients played a huge role in the distribution of C-section along the Robson's 10 groups classification.

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“…In a study done by Sherry K et al those with induced labour or Caesarean section before labour (Robson Group 2) had CS rates ranging from 34.4%-44.6% in British Columbia (accounting for 13.1% of all deliveries), and those with spontaneous onset of labour (Robson Group 1) had CS rates of 14.5% to 20.3% (accounting for 23.6% of all deliveries). 12 In multiparous women though the LSCS rate is expected to be low in our study the LSCS rate was 40% again CS rate was high in group 4 v/s 3 (36.02% vs 9.18%).…”

Section: Discussionmentioning

confidence: 53%

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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Examining Caesarean Section Rates in Canada Using the Robson Classification System

Cited by 102 publications

References 37 publications

An Attempt to Control the Increasing Trend of Caesarean Section

An Attempt to Control the Increasing Trend of Caesarean Section

How Referred Patients Influence Cesarean Sections Rate Pattern: Analysis according to the Robson Classification

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

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