Classification Of Caesarean Sections In Saint Paul’s Hospital Millennium Medical College Using Robson’s 10 Classifications, 2019

Abstract

<p><strong>Introduction</strong>: The international healthcare community has considered the ideal rate for caesarean sections to be between 10% and 15%.More than 85 % of these operations are performed for four reasons prior cesarean delivery, dystocia, fetal jeopardy, or abnormal fetal presentation.There is currently no internationally accepted classification system for caesarean section that would allow meaningful and relevant comparisons of CS rates across different facilities or regions.</p> <p><strong>Objective: </strong>To classify caesarean section deliveries, and to determine over all cesarean section rate using Robson’s 10 classifications.</p> <p><strong>Method:&nbsp;</strong>A health facility based prospective cross-sectional descriptive study was conducted at Saint Paul’s Hospital Millennium Medical College from January to March 2018 for three months. All mothers who delivered in Saint Paul’s Hospital Millennium Medical College within the study period were included in the study. The data was entred to Microsoft Excell2007 and SPSS Version20. Data was described using frequency and percentage(rate) and presented in tables and graphs.</p> <p><strong>Result</strong>: Out of 2206 deliveries over all caesarean section rate was 33.9%. The result also indicated that 15.9% of mothers belong to Group 1(nulliparous, singleton, cephalic, term, spontaneous labor). Whereas, 19.8% mothers belong to group 2(nulliparous, singleton, cephalic, term, induced labor or CS before labor) had highest contribution to caesarean section (24%), and group 5 is the second largestcontributor to caesarean section (17.4%)</p> <p><strong>Conclusion&amp;recommendation</strong>: Caesarean section rate of Saint Paul hospital millennium medical college was high (33.9%.). The Robson’s classification is easy to use. It is important that efforts to reduce the overall CS rate should focus on reducing the primary CS rate (groups 1-4) and on increasing vaginal birth after CS (group 5). Attention should be made because CS rate is rising up and will be problematic in our low resource countries.</p>