Analysis of Cesarean Section Rates Using Robson Ten Group Classification System in A Tertiary Care Hospital of Peshawar: A Cross-Sectional Study

Abstract

Objective: To observe CS rates and assess them using Robson's Ten Groups Categorization System in a government tertiary medical facility in Peshawar, Pakistan

Study Design and Setting: From 1st March to 31st August 2023, a cross-sectional study was carried out at the Khyber Teaching Hospital’s department of obstetrics and gynecology in Peshawar, Pakistan

Methodology:. The research cohort consisted of 1250 women with CS who were hospitalized throughout the specified study period. Information on maternal features and pregnancy-related details was collected for every patient.

Results: 4227 women sought labor and delivery services during the course of the research. It was discovered that the CS rate was 29.5%. Most common were Groups 1 (7.57%), 3 (8.65%), and 5 (54.66%), which together accounted for around 69% of all CS occurrences. Group 5's CS rate was 80.7%, but subgroup 5.1's (previous CS) women experienced repeat CS at a rate of 65.14%. 95% babies were alive and 5% were stillborns.

Conclusion: Noticeable raise in the caesarean deliveries rate, leading to substantial worse influence in terms of health, finances, and society. Previous CS is the most prevalent sign of CS.CS if performed on primigravidae with a valid indication, the rate of CS may be managed.