Analysis of Cesarean Section Rates  Using the Robson Classification  System in a Training and Research  Hospital in Turkey

Kemal Dinç

Article Details

Analysis of Cesarean Section Rates Using the Robson Classification System in a Training and Research Hospital in Turkey

Authors:

Kemal Dinç

Publisher:

Ataturk University

Main Topics:

Sağlık Kurumları Yönetimi | Hemşirelik

Journal:

Journal of Nursology Vol.26 Issue 1, pp.76-83

Document Type:

Article

Publication Date:

3/2023

Document Language:

English

Document ID (Org No.):

2001286881

pISSN:

2822-2954

Keywords:

Abstract:

 Objective: In our study, we aimed to evaluate cesarean section rates, causes, and changes over the years in an education and research hospital in eastern Turkey using the Robson 10-Group Classification System. Methods: A retrospective cross-sectional study was conducted that included all women who gave birth in a training and research hospital in eastern Turkey between January 2018 and December 2022. Digital data of all deliveries were extracted from the hospital information system, and all groups were compared using the obstetric parameters in the Robson 10-Group Classification System. Results: During a total of 5 years, 4265 51.47 of 8287 pregnant women who applied to the hospital for delivery were delivered by cesarean section. Most of the pregnant women admitted to the hospital are multiparous group 3group 435.9. Cesarean section was performed in 99.88 of the pregnant women who had a previous cesarean section group 5. Women in groups 1, 2, and 5 are the largest contributors to the overall cesarean section rate in our hospital. Conclusions: In our study, cesarean section rates should be reduced in women in the first, second, and fifth groups. In this context, physicians should increase vaginal deliveries after cesarean section and avoid unnecessary labor inductions. In terms of midwives and nurses, education and training should be planned and implemented for pregnant womencouples within the scope of prenatal care services consultancy service. A pregnant education program should be established in which the advantages and disadvantages of cesarean and vaginal delivery are explained.

 Objective: In our study, we aimed to evaluate cesarean section rates, causes, and changes over the years in an education and research hospital in eastern Turkey using the Robson 10-Group Classification System. Methods: A retrospective cross-sectional study was conducted that included all women who gave birth in a training and research hospital in eastern Turkey between January 2018 and December 2022. Digital data of all deliveries were extracted from the hospital information system, and all groups were compared using the obstetric parameters in the Robson 10-Group Classification System. Results: During a total of 5 years, 4265 51.47 of 8287 pregnant women who applied to the hospital for delivery were delivered by cesarean section. Most of the pregnant women admitted to the hospital are multiparous group 3group 435.9. Cesarean section was performed in 99.88 of the pregnant women who had a previous cesarean section group 5. Women in groups 1, 2, and 5 are the largest contributors to the overall cesarean section rate in our hospital. Conclusions: In our study, cesarean section rates should be reduced in women in the first, second, and fifth groups. In this context, physicians should increase vaginal deliveries after cesarean section and avoid unnecessary labor inductions. In terms of midwives and nurses, education and training should be planned and implemented for pregnant womencouples within the scope of prenatal care services consultancy service. A pregnant education program should be established in which the advantages and disadvantages of cesarean and vaginal delivery are explained.

 Objective: In our study, we aimed to evaluate cesarean section rates, causes, and changes over the years in an education and research hospital in eastern Turkey using the Robson 10-Group Classification System. Methods: A retrospective cross-sectional study was conducted that included all women who gave birth in a training and research hospital in eastern Turkey between January 2018 and December 2022. Digital data of all deliveries were extracted from the hospital information system, and all groups were compared using the obstetric parameters in the Robson 10-Group Classification System. Results: During a total of 5 years, 4265 51.47 of 8287 pregnant women who applied to the hospital for delivery were delivered by cesarean section. Most of the pregnant women admitted to the hospital are multiparous group 3group 435.9. Cesarean section was performed in 99.88 of the pregnant women who had a previous cesarean section group 5. Women in groups 1, 2, and 5 are the largest contributors to the overall cesarean section rate in our hospital. Conclusions: In our study, cesarean section rates should be reduced in women in the first, second, and fifth groups. In this context, physicians should increase vaginal deliveries after cesarean section and avoid unnecessary labor inductions. In terms of midwives and nurses, education and training should be planned and implemented for pregnant womencouples within the scope of prenatal care services consultancy service. A pregnant education program should be established in which the advantages and disadvantages of cesarean and vaginal delivery are explained.

 Amaç: Çalışmamızın amacı, Türkiyenin doğusundaki bir eğtim araştırma hastanesinde, sezaryen ile doğum SD oranlarını, nedenlerini ve yıllar içindeki değişimlerini Robson On Grup Sınıflandırma Sistemi ROGSS kullanarak değerlendirmektir. Yöntemler: Ocak 2018 ile Aralık 2022 yılları arasında Türkiyenin doğusunda bir eğitim araştırma hastanesinde doğum yapan tüm kadınları kapsayan retrospektif kesitsel bir çalışma yapıldı. Tüm doğumların dijital verileri, hastane bilgi sisteminde çıkarılarak Robson On Gruplu Sınıflandırma Sistemindeki obstetrik parametreler kullanılarak bütün gruplar karşılaştırılarak incelendi. Bulgular: Toplam 5 yıllık süre zarfında hastaneye doğum için başvuran 8287 gebeden 4265 tanesi 51,4 sezaryen yoluyla doğurtulmuştur. Hastaneye başvuran gebelerin büyük bir bölümü multipar Grup 3Grup 435,9 olarak başvurmaktadır. Daha önce sezaryen olmuş gebelerin Grup 5 99,8ine sezaryen yapılmıştır. Grup 1, 2 ve 5teki kadınlar, hastenemizdeki genel SD oranına en büyük katkı sağlayan gruplardır. Nullipar makat gelişlerde grup 6 100 ve multipar makat gelişlerde Grup 7 95,5lik sezaryen oranı izlenmiştir. Çoğul gebelik nedeniyle kabul edilen gebelerin oranı grup 8 0,9 ve sezaryen oranı ise 94,9 olarak bulunmuştur. Sonuç: Çalışmamızda hedef grup olarak tespit edilen; Grup 1, 2 ve 5teki kadınlar için sezaryen oranlarının azaltılması gerekmektedir. Sezaryen oranlarının azaltılması için gebelerin doğum öncesi eğitim almaları, SD sonrası vajinal doğumun arttırılması, gereksiz doğum indüksiyonlarından yapılmaması, tüp ligasyonu gerekçesiyle isteğe bağlı sezaryenden kaçınılması gerekmektedir.

Article Details

Analysis of Cesarean Section Rates Using the Robson Classification System in a Training and Research Hospital in Turkey

Authors:

Kemal Dinç

Publisher:

Ataturk University

Main Topics:

Sağlık Kurumları Yönetimi | Hemşirelik

Journal:

Journal of Nursology Vol.26 Issue 1, pp.76-83

Document Type:

Article

Publication Date:

3/2023

Document Language:

English

Document ID (Org No.):

2001286881

pISSN:

2822-2954

Cesarean section

classification of cesarean section

Robson 10-Group Classification System

pregnancy

delivery

Sezaryen

sezaryen sınıflandırması

Robson On Gruplu Sınıflandırma Sistemi

gebelik

doğum

Issues

Article Details

Authors: Kemal Dinç

Publisher: Ataturk University

Main Topics: Sağlık Kurumları Yönetimi | Hemşirelik

Journal: Journal of Nursology Vol.26 Issue 1, pp.76-83

Document Type: Article

Publication Date: 3/2023

Document Language: English

Document ID (Org No.): 2001286881

pISSN: 2822-2954

Issues

Authors:

Kemal Dinç

Publisher:

Ataturk University

Main Topics:

Sağlık Kurumları Yönetimi | Hemşirelik

Journal:

Journal of Nursology Vol.26 Issue 1, pp.76-83

Document Type:

Article

Publication Date:

3/2023

Document Language:

English

Document ID (Org No.):

2001286881

pISSN:

2822-2954