Abstract
Background: The gradual rise of CS all over the world demands the development of concrete classification systems for a more effective evaluation of the tendencies. The TGCS is known for its potential to partition the rates of CS into clinically meaningful groups, therefore, is known as Robson Ten Group Classification System.
Aim: The research question of the study was therefore informed by an interest in determining the distribution and the potential risk factors of CSs classified according to the Robson TGCS within a given healthcare facility.
Methods: Thus, the present cross-sectional, observational study was carried out in Shifa International Hospital at Peshawar, Pakistan. A target population consisted of females who had been subjected to CS in the discrete timeline. Information was obtained from patient charts and from hospital administrative databases on maternal age, parity, previous births, previous caesarean sections and details of the index delivery. Robson TGCS was employed to sort the CS cases into ten categories. Further, the patterns and factors that significantly contributed to the occurrence of injuries were determined through statistical analysis conducted with the help of the necessary software.
Results: The participants of the research were 1000 women who had undergone caesarean deliveries. From the analysis of the number of CS in the each of Robson’s five groups, it was observed that Group 5 involving women who had prior caesarean, single, cephalic, and the gestational age of ≥37weeks had the highest percentage of CS at 35%, followed by Group 2 that comprised of nulliparous, single, cephalic with gestational age of ≥37weeks and was either induced or had Several factors that predisposed women to have high CS rates were age greater than 35years, five or more pregnancies, and illnesses. Regarding the variation of different groups for comparing the maternal and the neonatal outcomes it revealed that the morbidity rates of the Group 5 & 10 (All single, cephalic, preterm) are high.
Conclusion: It can, therefore, be concluded that the Robson TGCS is instrumental in CS rate analysis and management. Thus, the application of specific measures for high-risk populations, including increasing the VBAC rate and enhancing the medical comorbidities of patients, may enhance the CS quality and infant and maternal health.
Keywords: CS, Robson 10 group classification system, maternal and neonatal outcomes, CS rates, OB practices.