Robson Criteria to Determine the Risk of Cesarean Section in Females Presenting to Sir Ganga Ram Hospital (SGRH), Lahore

Robson Classification and Caesarean Section Rates

Abstract

Rates of caesareans have increased, resulted in unfavourable outcomes in subsequent pregnancies. Robson categorization enhances standard of care by optimising the use of C-sections and evaluating methods to lower caesarean rates. Objective: To determine the frequency of caesarean section and to determine frequency of Robson 10 group classification system in patients who undergo caesarean. Methods: In this cross-sectional study, 140 pregnant selected via simple random sampling, were enlisted from Gyne department of SGRH, Lahore. According to Robson 10-group categorization those who underwent C-section were divided into ten groups and indication of C-section was studied. Data scrutiny was done using SPSS version 26.0. Mean and SD was used for quantitative variables and frequency for qualitative data. Data were stratified for effect modifiers, p-≤0.05 was taken as significant. Results: Mean age of patients calculated was 31.94 ± 2.14 years. Out of 140, 23.6% had C-section and 76.4% had vaginal delivery.  According to class of modified Robson criteria, 12.1% had class 1, 12.1% had class, 2, 21.2% had class 3, 36.4% had class 5, and 3.0% each had class 4, 6, 7, 8, 9, and 10. Conclusions: According to our findings, considerable percentage of C-sections occur with previous C-sections serving as most common indicator. This pattern emphasizes how crucial it is to concentrate on primary preventive techniques in order to lower its rate. Large number of C-sections performed on nulliparous both those in spontaneous labour and those who were not indicates that labour management procedures and decision-making processes need to be closely examined.