27.Analysis of Cesarean Sections Carried out at Liaquat Memorial Hospital Kohat using Robsons Ten Group Classification
Beenish Samreen Hamid1, Mussarat Jabeen1, Hina Zuhra1, Momina Nair Khattak2, Fareeha1 and Lubna Hassan3
ABSTRACT
Objective: To accomplish an analysis of cesarean sections carried out in Liaquat Memorial Hospital (LMH) Kohat and assess its rate using 10 Groups Robson classification system.
Study Design: Descriptive cross sectional study
Place and Duration of Study: This study was conducted at the Obstetrics/Gynae department of Liaquat Memorial Hospital (LMH) Kohat from the duration of January, 2019 to December, 2019 for a period of one year.
Materials and Methods: All patients attending the Obstetrics/Gynae department for delivery were enrolled in the study after taking verbal consent. A predesigned questionnaire including questions for data collection on maternal characteristics (i.e. age, gravidity, parity, previous history of c-section) pregnancy-related information (i.e. gestational age, fetal presentation, number of fetus and onset of labor) were used. The outcome of each patient either caesarian or normal delivery according to Robson’s classification, cases of ruptured uterus, maternal mortality and still birth were also noted. Data was entered and analyzed using SPSS version 16.
Results: A total 2041 (19.83%) caesarian sections out of a total 10292 deliveries were carried out in the study center over this period. The highest caesarian sections (CS) 899 (44%), 243 (11.9%) and 201 (9.8%) were observed in Robson’s classification R5 (multiparous women with at least one previous CS). The trend analysis of all cesarean cases showed that out of 2041 cesarean section cases, previous cesarean 670(32.83%), failure to progress 317 (15.53%) and fetal distress 210 (10.29%) were the predominant indications.
Conclusion: The rate of cesarean section (CS) was slightly higher in LHM hospital Kohat (19.89%) than the WHO recommended average cesarean rate of 15%.
Key Words: Robson classification, audit, cesarean section (CS), observational, labor, pregnancy, morbidity, fetal distress, induced labor
Citation of article: Hamid BS, Jabeen M, Zuhra H, Khattak MN, Fareeha, Hassan L. Analysis of Cesarean Sections Carried out at Liaquat Memorial Hospital Kohat using Robsons Ten Group Classification. Med Forum 2022;33(2):118-122.