AIMS: To implement the Robson Ten Group Classification System (TGCS) at the Royal Women's Hospital (RWH), Melbourne, in order to determine the main contributors to the rising Caesarean section (CS) rate. METHODS: The TGCS divides women into ten groups according to parity, past obstetric history, singleton or multiple pregnancy, fetal presentation, gestational age and mode of onset of labour/delivery. The TGCS was applied retrospectively to the population of women who had a registered birth at the RWH between January 2005 and 31 December 2005. RESULTS: A total of 5833 women gave birth to 6011 babies during the study period. A total of 1651 women (28.3%) had a CS birth. The total CS rates ranged from 3.7% (group 3) to 100% (group 9). Women in groups 1 and 2 were the greatest contributors to the emergency CS rate, 4.2% and 4.9%, respectively. Women in group 5 were the single greatest contributor to both the elective CS rate and the total CS rate. CONCLUSIONS: The TGCS was successfully implemented at the RWH in 2005. The TGCS is ongoing, enabling monitoring of CS rates. The Robson TGCS demonstrates the need to focus on the care of women in groups 1, 2 and 5 in particular, if CS rates are to be reduced.
AIMS: To implement the Robson Ten Group Classification System (TGCS) at the Royal Women's Hospital (RWH), Melbourne, in order to determine the main contributors to the rising Caesarean section (CS) rate. METHODS: The TGCS divides women into ten groups according to parity, past obstetric history, singleton or multiple pregnancy, fetal presentation, gestational age and mode of onset of labour/delivery. The TGCS was applied retrospectively to the population of women who had a registered birth at the RWH between January 2005 and 31 December 2005. RESULTS: A total of 5833 women gave birth to 6011 babies during the study period. A total of 1651 women (28.3%) had a CS birth. The total CS rates ranged from 3.7% (group 3) to 100% (group 9). Women in groups 1 and 2 were the greatest contributors to the emergency CS rate, 4.2% and 4.9%, respectively. Women in group 5 were the single greatest contributor to both the elective CS rate and the total CS rate. CONCLUSIONS: The TGCS was successfully implemented at the RWH in 2005. The TGCS is ongoing, enabling monitoring of CS rates. The Robson TGCS demonstrates the need to focus on the care of women in groups 1, 2 and 5 in particular, if CS rates are to be reduced.
Authors: Maria L Costa; Jose G Cecatti; João P Souza; Helaine M Milanez; Metin A Gülmezoglu Journal: Reprod Health Date: 2010-06-26 Impact factor: 3.223
Authors: Efty P Stavrou; Jane B Ford; Antonia W Shand; Jonathan M Morris; Christine L Roberts Journal: BMC Pregnancy Childbirth Date: 2011-01-20 Impact factor: 3.007
Authors: Gianpaolo Maso; Monica Piccoli; Marcella Montico; Lorenzo Monasta; Luca Ronfani; Sara Parolin; Carmine Gigli; Daniele Domini; Claudio Fiscella; Sara Casarsa; Carlo Zompicchiatti; Michela De Agostini; Attilio D'Atri; Raffaela Mugittu; Santo La Valle; Cristina Di Leonardo; Valter Adamo; Mara Fracas; Giovanni Del Frate; Monica Olivuzzi; Silvio Giove; Maria Parente; Daniele Bassini; Simona Melazzini; Secondo Guaschino; Caterina Businelli; Franco G Toffoletti; Diego Marchesoni; Alberto Rossi; Sergio Demarini; Laura Travan; Giorgio Simon; Sandro Zicari; Giorgio Tamburlini; Salvatore Alberico Journal: Biomed Res Int Date: 2013-06-25 Impact factor: 3.411
Authors: Ana P Betrán; A Metin Gulmezoglu; Michael Robson; Mario Merialdi; João P Souza; Daniel Wojdyla; Mariana Widmer; Guillermo Carroli; Maria R Torloni; Ana Langer; Alberto Narváez; Alejandro Velasco; Anibal Faúndes; Arnaldo Acosta; Eliette Valladares; Mariana Romero; Nelly Zavaleta; Sofia Reynoso; Vicente Bataglia Journal: Reprod Health Date: 2009-10-29 Impact factor: 3.223
Authors: Ana Pilar Betrán; Nadia Vindevoghel; Joao Paulo Souza; A Metin Gülmezoglu; Maria Regina Torloni Journal: PLoS One Date: 2014-06-03 Impact factor: 3.240