1. Cesarean Section Audit Using Robson's Ten Group Classification System at a Tertiary Care Centre in Tamil Nadu: A Cross Sectional Study.
- Author
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Arunadevi, V., Minnalkodi, S. N. S., and Kumar, Amar Nagesh
- Subjects
FETAL heart rate monitoring ,POSTPARTUM hemorrhage ,CROSS-sectional method ,BLOOD transfusion ,TERTIARY care ,CESAREAN section ,DATA analysis software ,ECLAMPSIA - Abstract
Rising in the rates of C-section deliveries worldwide is a major public health concern. According to WHO, C-section rate continues to rise globally, accounting for more than 1 in 5(21%) childbirths. There is lack of evidence supporting the maternal and neonatal benefits with the increasing C-section rates. Robson's Ten Group Classification system (RTGCS) serves as an initial structure with which caesarean section rates can be analyzed and allow us to bring changes in clinical practice. The objective of the current study was to audit C-section rate using Robson's Ten Group Classification System in our tertiary care hospital, and to identify the main contributors of each subgroup to overall Csection rate. This was a cross-sectional study conducted at out tertiary care center, Karpaga Vinayaga Institute of Medical Sciences and Research Centre (KIMS&RC), Madhuranthagam, Tamil Nadu, India during the period of January 2019 to December 2021. The study was conducted by reviewing the hospital record for analyzing the C-sections performed during the above-mentioned period. The study population include the pregnant women who underwent Csections in our hospital during the specified period. The 401 women who underwent C-section were classified in Robson's Ten group classification system, 45% women in Group 5 and it contributed to the maximum number of the total C-section rates. The second highest contributor was Group 1 and Group 2 contributing to 41% of the overall C-section rates. The Robson's Ten group classification system provides a useful framework for auditing C-section rates. Regular audits and standardization of indication of C-section will help in reducing the C-section rate in future. [ABSTRACT FROM AUTHOR]
- Published
- 2023