Asma Ansari1, Shehla Baqai2, Rabia Imran2. 1. Department of Obstetrics and Gynecology, Combined Military Hospital (CMH), Kharian, Pakistan. 2. Department of Obstetrics and Gynecology, Pak Emirates Military Hospital (PEMH), Rawalpindi, Pakistan.
Abstract
OBJECTIVE: To evaluate the rising rate of caesarean section (CS) and its contributing factors at a tertiary care hospital. STUDY DESIGN: Clinical audit. PLACE AND DURATION OF STUDY: Obstetrics and Gynecology Department, Pak Emirates Military Hospital (PEMH), Rawalpindi, from January to December 2017. METHODOLOGY: All caesarean sections were classified according to modified Robson criteria into twelve groups, after modification. The size of each group, rate of caesarean section and contribution of each group was calculated. A re-audit was carried out after 6 months under the same protocol thus completing the audit cycle. RESULTS: CS rate was 54% (n=3878). The maximum contribution 27.42% (n=1976) to total CS rate was made by Group 5, 12.07% (n=870) by group 12 and 7.34% (n=531) by group 2. Re-audit showed a reduced CS rate of 38.2% (n=1342) with contribution by Group 5 reduced to 16.05% (n=563), Group 12 to 7.47% (n=262) and Group 2 reduced to 5.7% (n=202), respectively. CONCLUSION: Modified Robson Criteria is an effective auditing tool which identifies the exact areas where efforts and strategies are required to reduce the overall CS rate.
OBJECTIVE: To evaluate the rising rate of caesarean section (CS) and its contributing factors at a tertiary care hospital. STUDY DESIGN: Clinical audit. PLACE AND DURATION OF STUDY: Obstetrics and Gynecology Department, Pak Emirates Military Hospital (PEMH), Rawalpindi, from January to December 2017. METHODOLOGY: All caesarean sections were classified according to modified Robson criteria into twelve groups, after modification. The size of each group, rate of caesarean section and contribution of each group was calculated. A re-audit was carried out after 6 months under the same protocol thus completing the audit cycle. RESULTS: CS rate was 54% (n=3878). The maximum contribution 27.42% (n=1976) to total CS rate was made by Group 5, 12.07% (n=870) by group 12 and 7.34% (n=531) by group 2. Re-audit showed a reduced CS rate of 38.2% (n=1342) with contribution by Group 5 reduced to 16.05% (n=563), Group 12 to 7.47% (n=262) and Group 2 reduced to 5.7% (n=202), respectively. CONCLUSION: Modified Robson Criteria is an effective auditing tool which identifies the exact areas where efforts and strategies are required to reduce the overall CS rate.