Cesarean Section Trends In The Tertiary Hospital – A Description Study With The Robson Classification

Authors

  • Wendy Armi General Practitioner of RSIA Permata Bunda, Kota Solok, West Sumatra

DOI:

https://doi.org/10.25077/aoj.7.1.295-300.2023

Keywords:

Robson Ten Group Classification System, TGCS, Cesarean Section, RSIA Permata Bunda, Solok City

Abstract

Introduction: The high incidence of Cesarean Section (CS) in Indonesia causes morbidity and
mortality for mothers and babies and is not in line with efforts to reduce maternal and infant mortality
according to the 2024 RPJMN. This study aims to provide an overview of the criteria for C-section
according to the Robson Group Classification System for CS indications at the suburban area level.
Methods: his study used medical record data from patients who underwent childbirth at RSIA
Permata Bunda, Solok City, West Sumatra, from July to December 2021, where each patient was
included in the CS criteria group according to the Robson Group Classification System for CS
indications. After that, all data groups were analyzed.
Results: The CS rate at RSIA Permata Bunda for the period July 2021-December 2021 is 80.65%.
This is in accordance with tiered referral conditions at level 1 health facilities.
In the CS Robson criteria, criterion 5 occupies the highest position in the percentage of Absolute
Contribution (29.08) and Relative Contribution (36.05). This criterion includes all multiparous
deliveries, singleton fetuses, and pregnancies >37 weeks with at least 1 history of uterine surgery
(uterine scar).
In the Robson 2 group, Absolute Contribution (18.33) and Relative Contribution (22.73) were the
second highest. This group includes all nulliparous pregnancies with singletons, >=37 weeks, with an
indication for induction or surgery prior to delivery.
Conclusion: The Robson Group Classification System for CS indications is considered to be used in
determining the description of CS criteria in tertiary hospitals. This criterion can well help the
Hospital to describe and analyze the high rate of C-section

References

Komisi Akreditasi Rumah Sakit. Standar Nasional Akreditasi Rumah Sakit (SNARS)

edisi 1. Jakarta: KARS; 2017.

Joint Commission International. JCI Accreditation Standards for Hospital. Illinois

Pemerintah Pusat. Peraturan Presiden (PERPRES) tentang Rencana Pembangunan

Jangka Menengah Nasional Tahun 2020-2024. Indonesia: 2020.

Sexual and Reproductive Health and Research. Robson Classification: Implementation

Manual. Geneva: World Health Organization; 2017.

Parveen R, Khakwani M, Naz A, Bhatti R. Analysis of cesarean sections using robson’s

ten group classification system. Pak J Med Sci 2021;37:1–5.

https://doi.org/10.12669/pjms.37.2.3823.

Tanaka K, Mahomed K. The Ten-Group Robson Classification: A Single Centre

Approach Identifying Strategies to Optimise Caesarean Section Rates. Obstet Gynecol

Int 2017;2017. https://doi.org/10.1155/2017/5648938.

Panicker S, V. C. Analysis of caesarean delivery rates using the ten group classification

system in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol 2016:3153–

https://doi.org/10.18203/2320-1770.ijrcog20163004.

Downloads

Published

2023-03-02

Issue

Vol. 7 No. 1 (2023)

Section

RESEARCH ARTICLE

License

Copyright (c) 2023 Wendy Armi

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright

Authors who publish with this journal agree to the following terms:

  1. Authors retain the copyright of published articles and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

License:

Andalas Obstetrics and Gynecology Journal (AOJ) is published under the terms of the Creative Commons Attribution 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, compose, modify, and make derivatives of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.