Evaluation of the Impact of the COVID-19 Pandemic on Cesarean Section Rates and Robson Group Distribution: A Retrospective Cohort Study

To evaluate the impact of the COVID-19 pandemic on cesarean section (CS) rates and the distribution of deliveries according to the Robson Ten Group Classification System (RTGCS) in a secondary-level hospital in Türkiye. This retrospective cohort study was conducted at Fatsa State Hospital using electronic medical records. Two periods were compared: pre-pandemic (March 2019–February 2020) and pandemic (March 2020–February 2021). All women who delivered during these periods were included. Deliveries were classified according to the RTGCS. For each group, total births, number of cesarean deliveries, intragroup CS rates, and contribution to the overall CS rate were calculated. Categorical variables were compared using the chi-square test, with p