Robson 10-groups classification system to access Cesarean section in Ain Shams University Maternity hospital and its relation to maternal & neonatal outcomes

Abstract

Nowadays, cesarean delivery has become one of the most common surgical intervention worldwide .It is a life- saving intervention for both the mother and her child when vaginal delivery is contraindicated or carries a maternal and fetal complications. The rate of performing CS is escalating without a clear evidence of the indications. Therefore, the World Health Organization (WHO) stated: “There is no justification for any region to have a cesarean section (CS) rate higher than 10–15%”. In April 2015, WHO adopted the Robson Ten Group Classification System (TGCS) as a global standard classification for assessing, monitoring, and comparing cesarean delivery rates within and between healthcare facilities. This study is a cohort study that was carried out in Ain Shams University Maternity Hospital (ASUMH), applied on all pregnant ladies who delivered in-between December 2018 to December 2019 and included 9159 participants. A complete-case analysis was conducted after exclusion of cases with incomplete data and missing variables. All ladies classified according to RTGCS into 10 groups. Through the study 75.6% of the participants aged 20 to 34 years, while approximately 20% of them were 35 years or older. The majority of those pregnant females presented at the 37th week of gestation (70%), only 29.7% of them were preterm. Approximately 25% of those women were nulliparous, with 75% of them had one or two previous delivery. Also, 56.5% of the participants had no previous CS , while 43.5% had one or more previous CS.