Indication for cesarean section as per Robsons's criteria- A
retrospective analysis of 5000 consecutive caesarean sections
Abstract
Abstract Background: The increasing incidence of cesarean section around
the world is becoming a matter of concern. Many obstetricians consider
it to be the easier option as opposed to vaginal delivery. However we
must not forget that caesarean section is associated with increased
morbidity to the patient. WHO (World Health Organization) in 2015
introduced the Robson’s criteria as a standardized method to determine
the rate and indications of cesarean section within a healthcare
facility. We here present a retrospective analysis of 5000 cesarean
sections by Robson’s criteria. Material Methods: A retrospective
analysis of total 5000 LSCS (lower segment cesarean section) as per
Robson criteria was carried out at MGM hospital Kalamboli from 1st
January 2015 to 25th December 2019. The indications for LSCS and the
maternal and fetal complications were noted. Results: The overall
cesarean section rate during the study period was 28%. Out of the 5000
study population 32.7% comprised of group 5 (Previous Caesarean
section) of Robson’s classification followed by 23.04% in group 2
(labour induced or LSCS before labour starts).