Auditing cesarean section indications in women of Groups 1 to 4 of Robson's Ten-Group Classification System: A descriptive study at a university hospital in Thailand - IRD - Institut de recherche pour le développement Access content directly
Journal Articles Open Research Europe Year : 2023

Auditing cesarean section indications in women of Groups 1 to 4 of Robson's Ten-Group Classification System: A descriptive study at a university hospital in Thailand

Waratchaya Witsawapaisan
Ratana Komwilaisak
  • Function : Author
Jen Sothornwit
Kiattisak Kongwattanaku
  • Function : Author
Ana Pilar Betrán
  • Function : Author
Michael Robson
  • Function : Author
Chatuporn Duangkum
  • Function : Author
Piyamas Saksiriwuttho
  • Function : Author
Sukanya Chaiyarach
  • Function : Author
Pisake Lumbigano
  • Function : Author

Abstract

Aim: To determine the appropriateness of indication for cesarean section in women at term with a single fetus in cephalic presentation without previous CS irrespective of parity and how labor started (Robson's Ten-Group Classification System [RTGCS] groups 1-4). Methods : This was a descriptive study assessing medical records of 311 women in RTGCS groups 1- 4, between 1 st January 2020 and 31 st December 2020 who underwent a CS in Srinagarind Hospital, a university hospital, Khon Kaen, Thailand. Appropriateness of CS indications was assessed using criteria developed by our institute. Indications were classified into three categories: cephalopelvic disproportion (CPD), fetal indications, and other maternal indications. Results: The overall appropriate rate of CS indications in RTGCS groups 1-4 was 32.5% (95% CI 26.8% – 38.7%). The appropriate rates of CS indications in RTCGS group 1, 2a, 2b, 3, 4a, and 4b were 43.0% (95% CI 35.2% - 51.2%), 10.6% (95% CI 0.0% - 24.9%), 11.7% (95% CI 0.0% - 25.0%), 50.0% (95% CI 32.1% - 68.6%), 0% (95% CI 0.0% - 100%), and 40.0% (95% CI 20.0% - 74.8%) respectively. Conclusion: Low appropriateness in CS indications in RTGCS groups 1-4 leads to high CS rates. Increasing appropriateness of CS indications in this population will reduce unnecessary CS. Interventions focusing on increasing appropriateness in CS indications are urgently required to achieve appropriate use of CS.

Dates and versions

ird-04196780 , version 1 (05-09-2023)

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Waratchaya Witsawapaisan, Ratana Komwilaisak, Jen Sothornwit, Kiattisak Kongwattanaku, Nampet Jampathong, et al.. Auditing cesarean section indications in women of Groups 1 to 4 of Robson's Ten-Group Classification System: A descriptive study at a university hospital in Thailand. Open Research Europe, 2023, 3, pp.126. ⟨10.12688/openreseurope.16251.1⟩. ⟨ird-04196780⟩

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