EVALUATE THE TRENDS OF CAESAREAN SECTION THROUGH ROBSON CRITERIA IN A TERTIARY CARE HOSPITAL IN NORTHERN INDIA

Abstract

Abstract

Introduction: The percentage of caesarean deliveries across India increased from 17.2 to 21.5% from 2015 to 2021. Robson classification was proposed to assess the strategies aimed to decrease the caesarean section rate and thereby improve the clinical practices and quality of care in various health care facilities.

Aim and Objectives: To evaluate the indications of Cesarean Section and classify the caesarean section based on Robson criteria to address the cause of rising caesarean section in our setup.

Material and Methods: A retrospective case study conducted in the Department of Obstetrics and Gynecology, Autonomous State Medical College, Firozabad on pregnant women undergoing cesarean section between January 2023 to December 2023. The parameters were considered according to the classification system and their perinatal outcomes were observed.

Observations: 741 antenatal women with mean age 25.54 ± 3.77 years underwent caesarean section during the study duration. When analysed as per Robson’s criteria, the maximum study population was grouped under group 5 comprising 39.95% cases, which was the most common indication for caesarean section in this particular study. Robson’s group 10, had maximum number of newborns admitted to NICU with mean birth weight of 2.01 ± 0.28 kg and APGAR £7 at 1 min was observed 71.43% of babies admitted.

Conclusion: Judicious use of caesarean section is the need of the hour and Robson’s criteria can be used as an auditing tool to control the increasing number of caesarean sections being performed around the world.