Analysis of Cesarean Sections Using Modified Robson Classification in a Tertiary Care Setup in Pakistan

Objective: To determine the frequency and rate of cesarean section in different groups of pregnant females classified according to Robson classification. Study Design: Analytical cross-sectional study. Place and Duration of Study: Department of Obstetrics and Gynecology, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Apr to Sep 2022. Methodology: A total of 173 pregnant females fulfilling the selection criteria were enrolled after taking written informed consent. At baseline, Robson classification was used, and all females were divided into 10 groups with delivery via cesarean section in each group noted and findings subjected to statistical analysis. Results: The mean age of 173 female patients was 30.98±5.72 years. Using Robson’s classification, 17(9.8%) were classified in Group 1, 13(7.5%) in Group 2a, 2(1.2%) in Group 2b, 22(12.7%) in Group 3, 4(2.3%) in Group 4a, 3(1.7%) in Group 4b, 12(6.9%) in Group 5a, 15(8.7%) in Group 5b, 47(27.2%) in Group 5c, 5(2.9%) in Group 6, 7(4%) in Group 7, 1(0.6%) in Group 8a, 1(0.6%) in Group 8b, 3(1.7%) in Group 8c, 2(1.2%) in Group 9 and 19(11%) in Group 10. Cesarean section (CS) was done in 44.1% females. According to Robson’s classification, the majority of the females who had CS were in 5, 3 and 10 groups. Conclusion: We found a CS rate of 44.1%, predominantly driven by Robson’s Group 5(42.8%), 3(12.7%), and 10(11%). Key contributing factors included prior CS scars, fetal distress, failed induction, and meconium-stained liquor. Targeted education for ...