ROBSON’S CLASSIFICATION OF CAESAREAN SECTION CONDUCTED AT A TERTIARY CARE WOMEN’S HOSPITAL
Background: Despite the World Health Organization’s recommendation and caution the cesarean section rates are continuously rising across the world. This despite the evidence indicating that this increase in c-section rate is not leading to a decline in the maternal and child mortality rates. The objective of this study was to classify and categories all the primary c-section conducted among multi-parous women delivering at a tertiary care hospital.
Material and Methods: An observational, cross-sectional, single centre study was conducted at the Sultania Zanana Hospital affiliated to Gandhi Medical College, Bhopal. The total duration of the study was one year from April 2013 to March 2014. The study population comprised of the multi-parous women coming or referred to SHZ. The primary source of the data for this study where the patient’s interview, treatment records and operation theatre delivery register.
Results: During the period between April 2013 to March 2014, a total of 10,271 deliveries were conducted at SZH; of these 7,570 were normal vaginal deliveries and 3,151 were c-section. The prevalence of primary cesarean section in multipara in the present study is 5.6 %. Most (62.0%) women were categorized as belonging to the III group while only 2.1% of women were categorized in the VIII group.
Discussion: A large number of primary c-section among primiparous women can be prevented. In comparison to primiparous women, the prevalence of primary c-section was less among multiparous women.