Abstract :
Background: The number of caesarean section deliveries is progressively increasing all around world including India and is a cause of concern. It is important to identify and categorise the women into different groupings as per Robson ten group classification system and the CS rate among them to try to decrease the C-section rate.Aim: To estimate the frequency and indications for CS in our hospital and to analyse them according to Modified Robson ten group classification.Materials and Methods: This retrospective observational study was done in a tertiary care teaching hospital in Mangalore, Karnataka. Data was collected of women who delivered by C-section from January, 2023 to June, 2023 and fractions in various groups according to Modified Robson ten group classification system was calculated.Results: A total of 522 deliveries were conducted in the study duration, of which 297 (56.896%) were by CS. Maximum women belonged to Group 1 which constituted 25.67% of the study population. The CS rates differed from 100% among women with breech presentation, abnormal lie and multiple pregnancies (Group 6, 7, 8 and 9) to 11.86% in Group 3. Group 5 contributed maximum to the total number of CS (41.076%).Conclusion: In this study, women with breech presentation, abnormal lie and multiple pregnancies delivered by C-section and repeat caesarean was the most significant factor overall. TOLAC should be offered routinely to reduce CS rates. Similarly, appropriate choice of women for induction with IOL protocols will help minimise primary C-section.
Keyword :
Caesarean section, Robson classification, Previous caesarean section.