Application of Robson Classification in Combined Military Hospital Lahore, a tertiary care centre

Authors

  • Maria Ahmad CMH Lahore Medical College and Institute of Dentistry, Lahore.

DOI:

https://doi.org/10.5281/zenodo.5081760

Keywords:

Robson Classification, Caesarean-section rate, Developing country

Abstract

Objectives: There is worldwide concern about rising rate of caesarean section. WHO proposes Robson classification as a global standard for comparing caesarean section rates within healthcare facilities. We conducted a study to determine whether this classification is reproducible in our local set-up.

Study design: Combined Military Hospital (CMH) Lahore is a tertiary care, thousand bedded teaching hospital with an approximate delivery rate of five thousand per annum. We looked into the maternity and birth record register of CMH Lahore and considered all births over a period of six months.

Results: The caesarean rate over this time period was 39%. Robson group 5 (women with previous caesarean section, term singleton pregnancy) had the highest number, with 56% of women delivering by caesarean section fell into this category. Considering the high rate of caesarean deliveries in these 6 months, we retrospectively looked into randomly selected 50 sets of notes for detailed study. This highlighted the need for revisiting our protocols for vaginal birth after caesarean and induction of labour and fresh perspective in management of breech.

Conclusion: Robson classification is reproducible in our set-up, and can be used for quality improvements in tertiary care maternity units in local context.

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Published

10-03-2021 — Updated on 05-04-2021

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How to Cite

Dr Maria Ahmad. (2021). Application of Robson Classification in Combined Military Hospital Lahore, a tertiary care centre. MedERA - Journal of CMH LMC and IOD, 1. https://doi.org/10.5281/zenodo.5081760 (Original work published March 10, 2021)