Analysis of Cesarean Delivery at Ain Shams Maternity Hospital Using the Ten Group Classification System
By
Radwa Mansour Mohamed , Hazem Amin Elzenini, Ismail Mohamed Ismail Elnagar
Obstetrics and Gynecology Department, Faculty of Medicine Ain Shams University
Background: Cesarean section is the most common surgical procedure done in obstetric care, for which the rates of it determine the quality of care in the examined health care system. Objective: To evaluate the feasibility of using the Robson Ten Group Classification System (TGCS) for cesarean delivery indications at Ain Shams Maternity hospital. Methods: This is a retrospective study on women who delivered by cesarean delivery at Ain Shams Maternity hospital between July 1, 2016 and June 30, 2018. All patient files have been revised and data has been collected then categorized. The rates of ceserean deliveries were classified using the Robson classification ten group system and data was tabulated againt the refernce data suggested by the WHO. Results: 15808 women delivered in the hospital during the study period, The CS rate was 58.04%. According to the Robson classification, Group5 and Group 10 were the most represented groups (31.72% and 29.91% of population, respectively). The major contributors to the CS rate were group 5 (27.10%), group10 (14.02%).The most commonly reported indications for CS included past CS, suspected fetal distress, preeclampsia, eclampsia. These suggested the need for further discussion on CS practices Conclusion: This study provides an example on how the WHO manual for Robson classification can be used in an action-oriented manner for developing recommendations for improving the QoC, and the quality of data collected.
December 2021