Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data

Background: Caesarean section is a major obstetric intervention for saving lives of women and their newborns from pregnancy- and childbirth-related complications. C-Section rate is considered an important indicator for measuring obstetric services in any country, region, or institution. In many coun...

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Autores principales:	H. Omer Tontus, Saniye Nebioglu
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/838c74d25e644443b846546df6a0ade9
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spelling	oai:doaj.org-article:838c74d25e644443b846546df6a0ade92021-12-02T08:46:45ZImproving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data2214-999610.5334/aogh.2615https://doaj.org/article/838c74d25e644443b846546df6a0ade92020-08-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2615https://doaj.org/toc/2214-9996Background: Caesarean section is a major obstetric intervention for saving lives of women and their newborns from pregnancy- and childbirth-related complications. C-Section rate is considered an important indicator for measuring obstetric services in any country, region, or institution. In many countries, based on population, all-cause C-Section rates have increased steadily during the past half century. The high and rising C-Section rate is certainly a cause for concern, and evidence-based information is needed as to how or why the C-Section rate has increased and what needs to be done. In this study, we tried to demonstrate how the Robson Classification can be used as a common starting point to audit caesarean deliveries. Objectives: Given the lack of a scientifically proven classification system to observe and compare caesarean rates, the WHO proposes adopting the Robson’s criteria-related grouping as an internationally applicable C-Section classification system. Methods: We conducted a retrospective study to look into the relation of Robson Criteria and C-Section. Our four years of study encompass 5,323,500 livebirths in Turkey and provide an important source of information for evaluating statistical data. Findings: We analysed pregnancies according to the percentage of live births in Robson’s groups and the caesarean rate within the Robson’s groups. In total, 2,764,373 pregnant women have undergone caesarean over 4 years with a 51.9% C-Section rate. According to our findings, as time progresses, the R5 group are expanding due to the caesarean sections groups R1–R4. The R5 group C-Section rate increased regularly from 22.2% in 2013 to 24.3% in 2016. Caesarean sections performed in R1–R4 groups cause subsequent pregnancies of these women to result in caesarean section. Conclusions: Our results suggest the Robson classification system will help in analysing, screening, auditing, and comparing caesarean rates across different hospitals, countries, or regions and will help to create and implement effective strategies specifically to reach WHO recommended C-Section rates.H. Omer TontusSaniye NebiogluUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 H. Omer Tontus Saniye Nebioglu Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data
description	Background: Caesarean section is a major obstetric intervention for saving lives of women and their newborns from pregnancy- and childbirth-related complications. C-Section rate is considered an important indicator for measuring obstetric services in any country, region, or institution. In many countries, based on population, all-cause C-Section rates have increased steadily during the past half century. The high and rising C-Section rate is certainly a cause for concern, and evidence-based information is needed as to how or why the C-Section rate has increased and what needs to be done. In this study, we tried to demonstrate how the Robson Classification can be used as a common starting point to audit caesarean deliveries. Objectives: Given the lack of a scientifically proven classification system to observe and compare caesarean rates, the WHO proposes adopting the Robson’s criteria-related grouping as an internationally applicable C-Section classification system. Methods: We conducted a retrospective study to look into the relation of Robson Criteria and C-Section. Our four years of study encompass 5,323,500 livebirths in Turkey and provide an important source of information for evaluating statistical data. Findings: We analysed pregnancies according to the percentage of live births in Robson’s groups and the caesarean rate within the Robson’s groups. In total, 2,764,373 pregnant women have undergone caesarean over 4 years with a 51.9% C-Section rate. According to our findings, as time progresses, the R5 group are expanding due to the caesarean sections groups R1–R4. The R5 group C-Section rate increased regularly from 22.2% in 2013 to 24.3% in 2016. Caesarean sections performed in R1–R4 groups cause subsequent pregnancies of these women to result in caesarean section. Conclusions: Our results suggest the Robson classification system will help in analysing, screening, auditing, and comparing caesarean rates across different hospitals, countries, or regions and will help to create and implement effective strategies specifically to reach WHO recommended C-Section rates.
format	article
author	H. Omer Tontus Saniye Nebioglu
author_facet	H. Omer Tontus Saniye Nebioglu
author_sort	H. Omer Tontus
title	Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data
title_short	Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data
title_full	Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data
title_fullStr	Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data
title_full_unstemmed	Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data
title_sort	improving the caesarean decision by robson classification: a population-based study by 5,323,500 livebirth data
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/838c74d25e644443b846546df6a0ade9
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Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data

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