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Introduction <p>Cesarean sections (CS) are indispensable in modern obstetrics; however, their overuse poses significant risks. The Robson Classification provides a structured, data-driven ap-proach to understanding and addressing CS trends. It plays a crucial role in reducing unnecessary CSs by guiding quality improvement initiatives and facilitating international comparisons.</p> Materials &amp; Methods <p>A cross-sectional study was performed among 501 consecutive deliveries over three months at a tertiary care center in India, applying Robson’s classification to assess CS frequency, responsible Robson groups, and to uncover potential areas for clinical improvement.</p> Results <p>The overall CS rate in our study was 52.10%. Such a high CS rate was influenced by specific Robson groups, particularly Group 5 (prior CS), Group 10 (preterm cephalic), and Group 2 (nulliparous, induced or CS before labour), accounting for 26.44%, 24.90%, and 18.77% of all CSs, respectively. Elevated CS rate in our center is reflective of its referral-based case load, which includes a disproportionately high number of medically complicated and high-risk pregnancies. The decision to perform CS in these cases is not necessarily indicative of overuse but rather of appropriately tailored care in a high-risk setting to ensure maternal and fetal safety. However, targeted efforts to reduce primary CS in Group 2 and to promote VBAC in Group 5 could significantly lower the overall CS rate.</p> Conclusion <p>The study highlights the need for enhanced clinical protocols, improved engage-ment in antenatal care, and a careful, case-by-case assessment of CS indications to promote safer, more judicious use of surgical deliveries.</p>

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Employment of Robson’s Ten Group Classification of Cesarean Section at a Tertiary Center in India: A Cross-sectional Study

  • 期刊论文

  • 发表日期：

    2026年4月10日

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  • Kavita Khoiwal,
  • Perka Manisha,
  • Rashmi Verma,
  • Pooja Garg,
  • Krishna Mangal,
  • Pragati Jakhar,
  • Surbhi Singh,
  • Amrita Gaurav,
  • Rajlaxmi Mundhra,
  • Latika Chawla,
  • Anupama Bahadur,
  • Om Kumari,
  • Poonam Gill,
  • Surekha Tayade,
  • Jaya Chaturvedi

摘要

Introduction

Cesarean sections (CS) are indispensable in modern obstetrics; however, their overuse poses significant risks. The Robson Classification provides a structured, data-driven ap-proach to understanding and addressing CS trends. It plays a crucial role in reducing unnecessary CSs by guiding quality improvement initiatives and facilitating international comparisons.

Materials & Methods

A cross-sectional study was performed among 501 consecutive deliveries over three months at a tertiary care center in India, applying Robson’s classification to assess CS frequency, responsible Robson groups, and to uncover potential areas for clinical improvement.

Results

The overall CS rate in our study was 52.10%. Such a high CS rate was influenced by specific Robson groups, particularly Group 5 (prior CS), Group 10 (preterm cephalic), and Group 2 (nulliparous, induced or CS before labour), accounting for 26.44%, 24.90%, and 18.77% of all CSs, respectively. Elevated CS rate in our center is reflective of its referral-based case load, which includes a disproportionately high number of medically complicated and high-risk pregnancies. The decision to perform CS in these cases is not necessarily indicative of overuse but rather of appropriately tailored care in a high-risk setting to ensure maternal and fetal safety. However, targeted efforts to reduce primary CS in Group 2 and to promote VBAC in Group 5 could significantly lower the overall CS rate.

Conclusion

The study highlights the need for enhanced clinical protocols, improved engage-ment in antenatal care, and a careful, case-by-case assessment of CS indications to promote safer, more judicious use of surgical deliveries.