Analysis of Cesarean Sections According to Robson Ten Group Classification in a Private Tertiary Care Hospital, Lahore

Objective: To determine the frequency of Cesarean -sections and categorize them according to Robson’s Ten Groups Classification System (TGCS) to regularly audit Casern section (CS) rates and provide feedback to obstetric teams to ensure quality improvement in Obstetrics and Gynecology Department of a private tertiary care hospital, Lahore. Methodology: A descriptive cross-sectional study was conducted in the Obstetric Department of a private hospital, Lahore from April to June 2024, included all women who delivered after 28 weeks of gestation either vaginally or by CS. Outcome variable was rate of C- section in all groups of Robson 10 classification. Independent variables were age, educational status and occupation with Robson Classification Group as dependent variable. A pretested questionnaire collected sociodemographic data and classified patients into Robson10 groups. Results: The total deliveries reported during three months were 568, out of which, 376 (66.1%) were Caesarean sections with the highest rate in group 5 (n=143, 38.03%) followed by group 2 (n=85,22.60 %) and group -10 (n=84, 23.4%) whereas groups 3,6,7,8, & 9 had contributed less than 2%. Conclusion A notably high rate of CS was depicted in group 5,2 and 10. Out of total 568 deliveries ,376(66.1%) were C-sections with the rates from highest to lowest in group5(38.08%), group 2(22.60%) and group 10(23.4%) respectively whereas group 3,6,7,8&9 had contributed less than 2%.