Ռոբսոնի դասակարգումը և VBAC-ը Հայաստանում. կլինիկական մոտեցում

This article examines the application of the Robson classification to promote vaginal birth after cesarean section (VBAC) in the Republic of Armenia. The analysis is based on a synthesis of international guidelines (WHO, ACOG, FIGO) and clinical data obtained from a multicenter study conducted between 2018 and 2020. The Robson classification is presented as a practical framework for standardizing clinical decisionmaking regarding mode of delivery and ensuring comparability of obstetric outcomes. The findings indicate that Robson group 5 – specifically subgroup 5.1 – constitutes the primary target population for the safe and effective implementation of VBAC, while VBAC may also be considered in carefully selected cases within Robson group 8. In contrast, VBAC is not recommended in Robson groups 6, 7, 9, and 10 due to increased maternal and perinatal risks. The application of the Robson classification may contribute to reducing unjustified repeat cesarean sections and serve as a foundation for the development of a national clinical guideline in Armenia.