Can the Robson 10 Group Classification System help identify which groups of women are driving the high caesarean section rate in major private hospitals in eastern Ethiopia?: A cross-sectional study
| Autor: | Sagni Girma Fage, Shegaw Geze, Abera Kenay Tura, Thomas van den Akker |
|---|---|
| Přispěvatelé: | Athena Institute, Network Institute, APH - Global Health |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Vaginal birth Cross-sectional study medicine.medical_treatment audit Hospitals Private DELIVERY Pregnancy Epidemiology Obstetrics and Gynaecology medicine Humans Caesarean section Obstructed labour obstetrics business.industry Cesarean Section Public health public health Trial of labour Parturition SDG 8 - Decent Work and Economic Growth General Medicine medicine.disease Private Facility Cross-Sectional Studies Medicine Female epidemiology Ethiopia business Demography |
| Zdroj: | BMJ Open, 11(8). BMJ PUBLISHING GROUP BMJ Open BMJ Open, 11(8):047206. BMJ PUBLISHING GROUP BMJ Open, Vol 11, Iss 8 (2021) BMJ Open, 11(8):e047206. BMJ Publishing Group Geze, S, Tura, A K, Fage, S G & Van Den Akker, T 2021, ' Can the Robson 10 Group Classification System help identify which groups of women are driving the high caesarean section rate in major private hospitals in eastern Ethiopia? A cross-sectional study ', BMJ Open, vol. 11, no. 8, e047206 . https://doi.org/10.1136/bmjopen-2020-047206 |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2020-047206 |
| Popis: | ObjectiveThe rates of caesarean section (CS) in Ethiopian private hospitals are high compared with those in public facilities, and there are limited descriptions of groups of women contributing to these high rates. The objective of this study was to describe the groups contributing to increased CS rates using the Robson classification in two major private hospitals in eastern Ethiopia.DesignCross-sectional study.SettingTwo major private hospitals in eastern Ethiopia.ParticipantsAll women who gave birth from 9 January 2019 to 8 January 2020 in two major private hospitals in eastern Ethiopia.Primary and secondary outcome measuresThe primary outcome was the Robson 10 Group Classification System. The secondary outcome was indication for CS as recorded in the medical files.ResultsOf 1203 births in both hospitals combined during the study period, 415 (34.5%) were by CS. Women with a uterine scar due to previous CS (group 5), single cephalic term multiparous women in spontaneous labour (group 3) and single cephalic term nulliparous women in spontaneous labour (group 1) were the leading groups contributing 33%, 27.5% and 17.1%, respectively. The leading documented indications were fetal compromise (29.4%), previous CS (27.2%) and obstructed labour (12.3%).ConclusionMore than three-fourths of CS were performed among Robson groups 5, 3 and 1, indicating inadequate trial of labour after CS or management of labour among relatively low-risk groups (3 and 1). Improving management of spontaneous labour and strengthening clinical practice around safely providing the option of vaginal birth after CS practice are strategies required to reduce the high CS rates in these private facilities. |
| Databáze: | OpenAIRE |
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