Original Research Article
Year: 2022 | Month: September | Volume: 9 | Issue: 9 | Pages: 334-338
DOI: https://doi.org/10.52403/ijrr.20220936
A Retrospective Chart Review Study Title of Project: Analysis of Caesarean Sections Using Robson 10-Group Classification System at the Georgetown Public Hospital Corporation, Georgetown, Guyana, South America
Ademola Biala1, Geremias Rangel2, Letitia Samuel3, Dr. Latoya Young4, Celeste Semple5
1,2Senior Registrar, Obstetrics and Gynecology Department, Georgetown Public Hospital Corporation, Georgetown, Guyana
3,4Medical Registrar, Obstetrics and Gynecology Department, Georgetown Public Hospital Corporation, Georgetown, Guyana
5Final Year Resident, Department of Obstetrics and Gynecology Residency Program, Georgetown Public Hospital Corporation, Georgetown, Guyana
Corresponding Author: Ademola Biala
ABSTRACT
Background: The WHO recommends a cesarean delivery rate (CDR) of less than 15%. The CDR at GPHC increased from 17.8% in 2010 to a peak of 26.1% in 2019, nearly twice the WHO recommendation. The purpose of this study is to analyze trends of and the CDR using Robson 10-group classification system (R-TGCS) at a tertiary facility in Guyana (Georgetown Public Hospital Corporation).
Methods: This study is a facility based, one-year retrospective chart review of patients who had cesarean deliveries (CDs) between January 1st, 2019 and December 31st, 2019. Pertinent information including maternal age, gestational age at delivery, gravidity and parity and indication for CD, were collected. The overall CDR was calculated and information on each patient was used to allot the patients into one of the ten R-TGCS. The dependent variable was Robson classification group.
Results: The total number of CDs for the period was 1641 out of 6277 deliveries above 28 weeks gestational age. Demographically, the most common age range of the cohort was 20-34 years, accounting for 73.8% of the cohort. The mean duration of hospitalization after CD was 3.5 (±3) days. The mean gestational age at delivery was 38 (±2.2) weeks. The most common indications for CD were non reassuring fetal heart tracings (32.2%), previous CD pre-labor (17.9%) and previous CS in labor (9.3%). The most common R-TGCS groups
Conclusion: The study showed that groups 5 (multipara with scarred uterus/previous CD), 1 (nullipara in labor) and 3 (multipara without scarred uterus/previous CD) were the major contributors to the overall CDR, with group 5 alone contributing one-quarter to the CDR.
Keywords: Robson’s Ten-Group Classification, Cesarean delivery.
[PDF Full Text]