Evaluation of cesarean delivery rates at three university hospital labor units using the Robson classification system

Autor: Bianka Nemethova, Dominika Halasova, J. Zahumensky, Petra Psenkova, M. Korbel, Peter Kascak
Rok vydání: 2019
Předmět:
Zdroj: International Journal of Gynecology & Obstetrics. 146:118-125
ISSN: 1879-3479
0020-7292
DOI: 10.1002/ijgo.12842
Popis: OBJECTIVE To analyze the frequency of cesarean delivery using the Robson 10-group classification. METHODS A multicenter retrospective cohort study was conducted at three university hospital labor units in the Slovak Republic. The medical records of all women who gave birth at these centers from January 1 to December 31, 2017, were assessed. RESULTS In all, 1437 of 3361 (42.8%), 729 of 2795 (26.1%), and 303 of 2080 (14.6%) births recorded at the three centers during the current study period were by cesarean delivery. Among the nulliparous term singleton vertex deliveries (Robson group 1 and 2), the frequency of cesarean delivery at the three centers was 613 of 1653 (37.1%), 278 of 1389 (20.0%), and 91 of 898 (10.1%). Among term multiparas with one fetus in a cephalic position and at least one previous cesarean delivery (Robson group 5), the frequency of cesarean delivery at the three centers was 405 of 418 (96.9%), 261 of 343 (76.1%), and 55 of 115 (47.8%). CONCLUSION Analysis of the frequency of cesarean delivery by Robson classification could help to identify possibilities for safely decreasing cesarean delivery rates in the clinic. Robson groups 1, 2, and 5 were the most modifiable groups.
Databáze: OpenAIRE
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