Bismeen Jadoon1, Tamer Mahmoud Assar2, Amany Ali Abdel Rahman Nucier3, Heba Elsayed Abdel Raziq4, Ahmed Samy Abd El-Azym Saad5, Wagdy Megahed Amer6. 1. Research coordinator at the Faculty of Egyptian Society of Royal College of Obstetrics and Gynaecology, (ERC-RCOG), 42 Abdel Monem Road, Mohandseen, Cairo, 11231, Egypt. Electronic address: bismeen.jadoon@gmail.com. 2. Faculty of Medicine-Benha University, El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt. Electronic address: tamer.assar2000@gmail.com. 3. Madinet Kafr Shokr, Kafr Shokr, Al Qalyubia Governorate, Egypt. Electronic address: Amany.ali@yahoo.com. 4. Faculty of Medicine-Benha University, El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt. Electronic address: dr_hebaadam2014@yahoo.com. 5. Faculty of Medicine-Benha University, El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt. Electronic address: drahmedsaad@live.com. 6. El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt. Electronic address: wagdy.amer@fmed.bu.edu.eg.
Abstract
BACKGROUND: Egypt has the third highest caesarean section rate (54%) in the world and lacks a standard classification system to analyse caesarean section rates. The World Health Organization (WHO) recommends the Robson classification as an effective caesarean section analysis and monitoring tool. AIM: To analyse the caesarean section rate of Benha University Hospital, Egypt using the standard 10-Group Robson classification system. METHOD: A prospective, cross-sectional study was conducted at the Benha University Hospital from 1 April to 30 June 2018. All women admitted for childbirth were categorised into Robson groups to determine the absolute and relative contribution made by each group to the overall caesarean section rate. Epi Data V.3.1 software programme was used to analyse the data. FINDINGS: 850 women gave birth during the study period, 466 (55%) by caesarean section (CS). Robson Group 5 (multiparous, term, cephalic presentation and previous caesarean section) contributed the most (36%) to the overall CS rate. 175/308 (56%) women in this group had previously undergone one caesarean section. Group 6 (all nulliparous women with single breech pregnancy) and Group10 (cephalic preterm pregnancies) were the second and the third greatest contributors toward the overall CS rate, with 4.6% and 2.8% respectively. CONCLUSIONS: In keeping with other studies, Groups 5, 6, and 10 were the main contributors to the overall caesarean section rate. We found Robson classification to be clinically relevant and an effective tool to analyse the caesarean section rate even in settings with limited resources.
BACKGROUND: Egypt has the third highest caesarean section rate (54%) in the world and lacks a standard classification system to analyse caesarean section rates. The World Health Organization (WHO) recommends the Robson classification as an effective caesarean section analysis and monitoring tool. AIM: To analyse the caesarean section rate of Benha University Hospital, Egypt using the standard 10-Group Robson classification system. METHOD: A prospective, cross-sectional study was conducted at the Benha University Hospital from 1 April to 30 June 2018. All women admitted for childbirth were categorised into Robson groups to determine the absolute and relative contribution made by each group to the overall caesarean section rate. Epi Data V.3.1 software programme was used to analyse the data. FINDINGS: 850 women gave birth during the study period, 466 (55%) by caesarean section (CS). Robson Group 5 (multiparous, term, cephalic presentation and previous caesarean section) contributed the most (36%) to the overall CS rate. 175/308 (56%) women in this group had previously undergone one caesarean section. Group 6 (all nulliparous women with single breech pregnancy) and Group10 (cephalic preterm pregnancies) were the second and the third greatest contributors toward the overall CS rate, with 4.6% and 2.8% respectively. CONCLUSIONS: In keeping with other studies, Groups 5, 6, and 10 were the main contributors to the overall caesarean section rate. We found Robson classification to be clinically relevant and an effective tool to analyse the caesarean section rate even in settings with limited resources.