The Ten-Group Robson Classification: A Single Centre Approach Identifying Strategies to Optimise Caesarean Section RatesReport as inadecuate




The Ten-Group Robson Classification: A Single Centre Approach Identifying Strategies to Optimise Caesarean Section Rates - Download this document for free, or read online. Document in PDF available to download.

Obstetrics and Gynecology International - Volume 2017 2017, Article ID 5648938, 5 pages - https:-doi.org-10.1155-2017-5648938

Research Article

Department of Obstetrics and Gynaecology, Ipswich Hospital, Ipswich, QLD, Australia

Ipswich Hospital and University of Queensland, Ipswich, QLD, Australia

Correspondence should be addressed to Kassam Mahomed

Received 26 July 2016; Revised 11 December 2016; Accepted 18 December 2016; Published 10 January 2017

Academic Editor: Robert Coleman

Copyright © 2017 Keisuke Tanaka and Kassam Mahomed. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Caesarean section CS rates have been increasing worldwide and have caused concerns. For meaningful comparisons to be made World Health Organization recommends the use of the Ten-Group Robson classification as the global standard for assessing CS rates. 2625 women who birthed over a 12-month period were analysed using this classification. Women with previous CS group 5 comprised 10.9% of the overall 23.5% CS rate. Women with one previous CS who did not attempt VBAC contributed 5.3% of the overall 23.5% CS rate. Second largest contributor was singleton nulliparous women with cephalic presentation at term 5.1% of the total 23.5%. Induction of labour was associated with higher CS rate groups 1 and 3 24.5% versus 11.9% and 6.2% versus 2.6%, resp

For postdates IOL we recommend a gatekeeper booking system to minimise these being performed <41 weeks. We suggest setting up dedicated VBAC clinic to support for women with one previous CS. Furthermore review of definition of failure to progress in labour not only may lower CS rates in groups 1 and 2a but also would reduce the size of group 5 in the future.





Author: Keisuke Tanaka and Kassam Mahomed

Source: https://www.hindawi.com/



DOWNLOAD PDF




Related documents