Analysis of caesarean sections using Robson 10-group classification system in a university hospital in eastern Ethiopia: A cross-sectional study

BMJ Open

Volumn 8, Issue 4, 2018, Pages

  Tura, Abera Kenay ^a,b   Pijpers, Olga ^b   De Man, Myrna ^b   Cleveringa, Myrthe ^b   Koopmans, Ingeborg ^b   Gure, Tadesse ^a,c   Stekelenburg, Jelle ^b,d  

^a HARAMAYA UNIVERSITY   (Ethiopia)

^b UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

^c Hiwot Fana Specialized University Hospital   (Ethiopia)

^d MEDICAL CENTER LEEUWARDEN   (Netherlands)

Author keywords

audit; caesarean section; Ethiopia; maternal health; robson classification

Indexed keywords

ADULT; AGED; ARTICLE; CESAREAN SECTION; CROSS-SECTIONAL STUDY; DISEASE CLASSIFICATION; ETHIOPIA; ETHIOPIAN; FEMALE; GESTATIONAL AGE; HOSPITAL ADMISSION; HUMAN; LABOR ONSET; LOW RISK POPULATION; MAJOR CLINICAL STUDY; MATERNAL MORBIDITY; MATERNAL MORTALITY; MEDICAL HISTORY; MULTIPARA; NULLIPARA; PREGNANCY; PRENATAL GROWTH; ROBSON 10 GROUP CLASSIFICATION SYSTEM; TERTIARY CARE CENTER; UNIVERSITY HOSPITAL; WORLD HEALTH ORGANIZATION; NEWBORN; PARITY; STATISTICS AND NUMERICAL DATA; YOUNG ADULT;

ADULT; CESAREAN SECTION; CROSS-SECTIONAL STUDIES; ETHIOPIA; FEMALE; HOSPITALS, UNIVERSITY; HUMANS; INFANT, NEWBORN; PARITY; PREGNANCY; YOUNG ADULT;

EID: 85055774563     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2017-020520     Document Type: Article

References (40)

1. Betrán AP, Ye J, Moller AB, et al. The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PLoS One 2016;11:e0148343.
2. World Health Organization Human Reproduction Programme, 10 April 2015. WHO statement on caesarean section rates. Reprod Health Matters 2015;23:149-50.
3. Ye J, Zhang J, Mikolajczyk R, et al. Association between rates of caesarean section and maternal and neonatal mortality in the 21st century: a worldwide population-based ecological study with longitudinal data. BJOG 2016;123:745-53.
4. Betran AP, Torloni MR, Zhang J, et al. What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies. Reprod Health 2015;12:57.
5. World Health Organization. Reproductive health: managing complications in pregnancy and childbirth: a guide for midwives and doctors. Geneva: World Health Organization, 2003.
6. Rijken MJ, Meguid T, van den Akker T, et al. Global surgery and the dilemma for obstetricians. Lancet 2015;386:1941-2.
7. Belachew J, Cnattingius S, Mulic-Lutvica A, et al. Risk of retained placenta in women previously delivered by caesarean section: a population-based cohort study. BJOG 2014;121:224-9.
8. Kok N, Ruiter L, Hof M, et al. Risk of maternal and neonatal complications in subsequent pregnancy after planned caesarean section in a first birth, compared with emergency caesarean section: a nationwide comparative cohort study. BJOG 2014;121:216-23.
9. Villar J, Carroli G, Zavaleta N, et al. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. BMJ 2007;335:1025.
10. Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA. Ethiopia Demographic and Health Survey: CSA and ICF, 2016.
11. Fesseha N, Getachew A, Hiluf M, et al. A national review of cesarean delivery in Ethiopia. Int J Gynaecol Obstet 2011;115:106-11.
12. Tsega F, Mengistie B, Dessie Y, et al. Prevalence of cesarean section in urban health facilities and associated factors in Eastern Ethiopia: hospital based cross sectional study. J Preg Child Health 2015;2:169-73.
13. Gibbons L, Belizan JM, Lauer JA, et al. Inequities in the use of cesarean section deliveries in the world. Am J Obstet Gynecol 2012;206:331.e1-9.
14. Gebremedhin S, Trend GS. Trend and socio-demographic differentials of Caesarean section rate in Addis Ababa, Ethiopia: analysis based on Ethiopia demographic and health surveys data. Reprod Health 2014;11:14.
15. Johnson CT, Johnson TRB, Adanu RMK, et al. Obstetric Surgery. In: Debas HT, Donkor P, Gawande A, eds. Essential Surgery: disease control priorities. 1. Third Edn. Washington (DC): International Bank for Reconstruction and Development / The World Bank, 2015.
16. Stanton C, Ronsmans C. Baltimore Group on Cesarean. Recommendations for routine reporting on indications for cesarean delivery in developing countries. Birth 2008;35:204-11.
17. Torloni MR, Betran AP, Souza JP, et al. Classifications for cesarean section: a systematic review. PLoS One 2011;6:e14566.
18. Robson MS. Can we reduce the caesarean section rate? Best Pract Res Clin Obstet Gynaecol 2001;15:179-94.
19. Brennan DJ, Robson MS, Murphy M, et al. Comparative analysis of international cesarean delivery rates using 10-group classification identifies significant variation in spontaneous labor. Am J Obstet Gynecol 2009;201:308.e1-308.e8.
20. Costa ML, Cecatti JG, Souza JP, et al. Using a caesarean section classification system based on characteristics of the population as a way of monitoring obstetric practice. Reprod Health 2010;7:13,4755.
21. Le Ray C, Blondel B, Prunet C, et al. Stabilising the caesarean rate: which target population? BJOG 2015;122:690-9.
22. Abebe FE, Gebeyehu AW, Kidane AN, et al. Factors leading to cesarean section delivery at Felegehiwot referral hospital, Northwest Ethiopia: a retrospective record review. Reprod Health 2016;13:6,015.
23. Say L, Souza JP, Pattinson RC, et al. Maternal near miss-towards a standard tool for monitoring quality of maternal health care. Best Pract Res Clin Obstet Gynaecol 2009;23:287-96.
24. Litorp H, Kidanto HL, Nystrom L, et al. Increasing caesarean section rates among low-risk groups: a panel study classifying deliveries according to Robson at a university hospital in Tanzania. BMC Pregnancy Childbirth 2013;13:107,2393.
25. Makhanya V, Govender L, Moodley J. Utility of the Robson Ten Group Classification System to determine appropriateness of caesarean section at a rural regional hospital in KwaZulu-Natal, South Africa. S Afr Med J 2015;105:292-5.
26. World Health Organization. Robson classification: implementation manual. Geneva: World Health Organization, 2017.
27. Loué VA, Gbary EA, Koffi SV, et al. Analysis of caesarean rate and indications of university hospitals in sub-Saharan African developing countries using Robson classification system: the case of Cocody's hospital center, Abidjan-Cote d'Ivoire. IJRCOG 2017;5:1773-7.
28. Kelly S, Sprague A, Fell DB, et al. Examining caesarean section rates in Canada using the Robson classification system. J Obstet Gynaecol Can 2013;35:206-14.
29. Kazmi T, Saiseema S, Khan S. Analysis of cesarean section rate-according to robson's 10-group classification. Oman Med J 2012;27:415-7.
30. Roberge S, Dubé E, Blouin S, et al. Reporting caesarean delivery in Quebec using the Robson classification system. J Obstet Gynaecol Can 2017;39:152-6.
31. Stavrou EP, Ford JB, Shand AW, et al. Epidemiology and trends for Caesarean section births in New South Wales, Australia: a population-based study. BMC Pregnancy Childbirth 2011;11:8,2393.
32. Vogel JP, Souza JP, Gülmezoglu AM. Patterns and Outcomes of Induction of Labour in Africa and Asia: a secondary analysis of the WHO Global Survey on Maternal and Neonatal Health. PLoS One 2013;8:e65612.
33. Zeitlin J, Mohangoo A, Delnorn M, et al. European perinatal health report. The health and care of pregnant women and babies in Europe in 2013;2010.
34. Rayburn WF, Zhang J. Rising rates of labor induction: present concerns and future strategies. Obstet Gynecol 2002;100:164-7.
35. Vogel JP, Moore JE, Timmings C, et al. Barriers, facilitators and priorities for implementation of who maternal and perinatal health guidelines in four lower-income countries: a great network research activity. PLoS One 2016;11:e0160020.
36. Markos D, Bogale D. Documentation status of the modified World Health Organization partograph in public health institutions of Bale zone, Ethiopia. Reprod Health 2015;12:81,015.
37. Yisma E, Dessalegn B, Astatkie A, et al. Completion of the modified World Health Organization (WHO) partograph during labour in public health institutions of Addis Ababa, Ethiopia. Reprod Health 2013;10:10-23.
38. van Roosmalen J, van der Does CD. Caesarean birth rates worldwide. A search for determinants. Trop Geogr Med 1995;47:19-22.
39. Delbaere I, Cammu H, Martens E, et al. Limiting the caesarean section rate in low risk pregnancies is key to lowering the trend of increased abdominal deliveries: an observational study. BMC Pregnancy Childbirth 2012;12:3.
40. Robson M. The Ten Group Classification System (TGCS)-a common starting point for more detailed analysis. BJOG 2015;122:701.