Evaluation of Robsons ten group classification to optimise caesarean delivery rates: A comparative study

Background & Methods: The aim of the study is evaluation of Robsons Ten Group classification to optimise caesarean delivery rates. The data is retrieved from the hospital registers (Labour room and operation theatre) and case records of all women delivered in the institute during the period September 2021 to September 2023 for the classification of RTGCS. For each caesarean done, data is entered from the Caesarean Delivery Register, maintained in operation theatre. The details collected and entered in the predesigned proforma after obtaining written informed consent from the patient at admission. Results: Previous caesarean sections and foetal distress are the leading indications, together accounting for over 40% of the cases. Hypertensive disorders, failed inductions, and cephalopelvic disproportion are other significant medical indications, while maternal request, though less common, also contributes to the overall caesarean rate. Conclusion: RTG- 5 (previous caesarean section, single cephalic > 37 weeks): The extremely high caesarean rate in group 1 (98.6%) compared to group 2 (60.2%) highlights the need to promote Vaginal Birth After Caesarean (VBAC). Educating patients and healthcare providers about the safety and benefits of VBAC and providing adequate support during labour is essential. RTG - 1 (nulliparous, single cephalic, ? 37 weeks in spontaneous labour): The higher caesarean rate in group 2 (30.6%) compared to group 1 (23.08%) indicates the need for strategies to reduce primary caesareans. This might include enhanced labour support, continuous foetal monitoring, and non- interventionist practices.