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The Ten-Group Robson Classification: A Single Centre Approach Identifying Strategies to Optimise Caesarean Section Rates
Joint Authors
Tanaka, Keisuke
Mahomed, Kassam
Source
Obstetrics and Gynecology International
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-10
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Tanaka, Keisuke& Mahomed, Kassam. 2017. The Ten-Group Robson Classification: A Single Centre Approach Identifying Strategies to Optimise Caesarean Section Rates. Obstetrics and Gynecology International،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1193499
Modern Language Association (MLA)
Tanaka, Keisuke& Mahomed, Kassam. The Ten-Group Robson Classification: A Single Centre Approach Identifying Strategies to Optimise Caesarean Section Rates. Obstetrics and Gynecology International No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1193499
American Medical Association (AMA)
Tanaka, Keisuke& Mahomed, Kassam. The Ten-Group Robson Classification: A Single Centre Approach Identifying Strategies to Optimise Caesarean Section Rates. Obstetrics and Gynecology International. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1193499
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1193499