Understanding Cesarean Section Utilization Patterns and Outcomes in Level III Obstetric Facilities: A Robson Classification-Based Narrative Review in Kazakhstan

Introduction: This review aims to explore the application of Robson’s classification of CS at level III obstetric institutions in Kazakhstan.Methods: A comprehensive search of multiple online databases, including the Web of Science, Scopus, Google Scholar, PubMed, and the Cochrane Library, was conducted. A qualitative study of previously published studies was also conducted. Results: A systematic search identified 37 relevant articles for review. Analysis of caesarean section rates using Robson's classification showed group 5 (women with a history of caesarean section) had the highest rates. At the same time, groups 6 and 7 (breech presentation) also had elevated rates due to complications. The highest contributors were groups 5, 2, 10 and 1 in a level III obstetric facility.Conclusion: The application of Robson's classification system in Kazakhstan's obstetric population revealed varying cesarean section rates, particularly among women with previous cesarean sections and breech presentations.