Cesarean Section Rate Based on The Robson 10-group Classification at Rajavithi Hospital from 2015-2018
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Abstract
Objectives: To analyze cesarean section (CS) rates based on the Robson 10-group classification system (TGCS) and to examine the trends of cesarean section rates at Rajavithi Hospital (RH) between 2015 and 2018.
Materials and Methods: This cross-sectional study included all deliveries in RH between 1st January, 2015 and 31st December, 2018. The TGCS was used to categorize cesarean deliveries and all data collected.
Results: A total of 19,840 deliveries were analyzed. The annual CS rates were 35.5% (1710/4813), 36.6% (1809/4949), 35.2% (1836/5223) and 34.8% (1689/4855) in 2015, 2016, 2017 and 2018, respectively. The trend of the CS rates in each group and that of relative and absolute contributions were similar within the study period (p = 0.290). Group 1, 3 and 10 accounted for almost 70% of the study population and multiparous women with previous CS in (30.8%, 32.6%, 31.9% and 31.9%; p = 0.718), followed by group 2 (17.5%, 18%, 18.9% and 17.9%; p = 0.506) and group 1 (16.1%, 16.8%, 14.4% and 15.2%; p = 0.211), respectively.
Conclusion: The overall CS rate during the four-year period 2015-2018 varied between 34.8% and 36.6%, and the highest relative and absolute contribution to the overall CS rate at.
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References
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