Evaluation of the labors in Kanuni Sultan Suleyman Research Hospital according to Robson classification between January and June 2014

Cesarean sections are the most common performed operations worldwide and are increasing in time. Cesarean costs are higher than vaginal delivery and also may increase maternal morbidity. In order to decrease cesarean ratios we should know the related indications. Robson’s - 10 group system classifications, proposed in 2001, and are performed according to the patient and not to the indication. In our clinic we also document the indications of the cesarean sections in the first four groups of Robson. In this study we evaluated the statistics of the labors in our clinic from January 2014 to June 2014.
During the first half of 2014 a total of 7428 labors were performed and 7569 babies were born. Of these deliveries, 2779 were performed spontaneous vaginally, 1793 with help of vaginal episiotomy and 2933 via cesarean section. The primary cesarean section rate was 18.2% (534/2779) throughout this period.
According to the Robson classification of cesarean labors, Group 5 (all multipara with previous uterine incision scared uterus) consists 50.9%, Group 1+2 (all single cephalic nulliparous) consist 16.4% and Group 3+4 (all single cephalic multiparas without uterine incision) consist 14.0% of all sections. After subgroup evaluation, we found that fetal distress was the most frequent indication in nulliparous (Groups 1+2) with 16.0% rate, followed by preeclampsia and over weighted babies with 8.9% and 7.9%, respectively. In multipara (Groups 3+4) the most frequent indication is preeclampsia with a rate of 9.8%, followed by fetal distress with 7.5% and over weighted babies with 7.5%, respectively.
The Robson classification groups are evaluated generally whereas it is not appropriate for subgroup analysis which is a limitation of the classification. In our study we investigated the Robson classification as well as indication of subgroups. Because of high rates for cesarean sections in Turkey it is important to decrease the primary section rates. This subgroup analysis may be one evaluation and help to decrease primary cesarean section ratios.

Keywords

Robson, cesarian section classification

	File/Dsecription
	Table 1 The 10 Group Robson Classification
	Table 2 Cesarean indications in Groups 1 and 2
	Table 3 Cesarean indications in Groups 3 and 4 totally