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2019•Journal of the Pakistan Medical AssociationOpen access

The modified Robson criteria for caesarean section audit at MCH Center PIMS Islamabad

Sidra Gilani, Syeda Batool Mazhar, Majida Zafar, Tayyaba Mazhar

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Abstract

OBJECTIVE: To determine the rates of lower segment Caesarean Section and their indications using modified Robson criteria. METHODS: The retrospective study was conducted at Pakistan Institute of Medical Sciences, Islamabad, Pakistan, and comprised review of records from October 1, 2016, to September 30, 2017,related to all Caesarean Sections. The data was classified according to Robson's Ten Group Classification System. SPSS 21 was used for data analysis. RESULTS: Of the 6155 deliveries, 2052(33.3%) were caesarean sections. According to the criterion used, the major contributor to overall Caesarean Section rate was Group 5 which entails previous Caesarian delivery, single, cephalic, >37 weeks. CONCLUSIONS: Women with previous scar should be assessed and offered trial of labour after caesarean section, where appropriate.

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OBJECTIVE: To determine the rates of lower segment Caesarean Section and their indications using modified Robson criteria. METHODS: The retrospective study was conducted at Pakistan Institute of Medical Sciences, Islamabad, Pakistan, and comprised review of records from October 1, 2016, to September 30, 2017,related to all Caesarean Sections. The data was classified according to Robson's Ten Group Classification System. SPSS 21 was used for data analysis. RESULTS: Of the 6155 deliveries, 2052(33.3%) were caesarean sections. According to the criterion used, the major contributor to overall Caesarean Section rate was Group 5 which entails previous Caesarian delivery, single, cephalic, >37 weeks. CONCLUSIONS: Women with previous scar should be assessed and offered trial of labour after caesarean section, where appropriate.

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Available abstract

OBJECTIVE: To determine the rates of lower segment Caesarean Section and their indications using modified Robson criteria. METHODS: The retrospective study was conducted at Pakistan Institute of Medical Sciences, Islamabad, Pakistan, and comprised review of records from October 1, 2016, to September 30, 2017,related to all Caesarean Sections. The data was classified according to Robson's Ten Group Classification System. SPSS 21 was used for data analysis. RESULTS: Of the 6155 deliveries, 2052(33.3%) were caesarean sections. According to the criterion used, the major contributor to overall Caesarean Section rate was Group 5 which entails previous Caesarian delivery, single, cephalic, >37 weeks. CONCLUSIONS: Women with previous scar should be assessed and offered trial of labour after caesarean section, where appropriate.

Key concepts: Medicine, Caesarian section, Caesarean section, Obstetrics, Audit, Caesarean delivery, Sri lanka, Retrospective cohort study

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