ANALYSIS OF CAESAREAN SECTION RATE ACCORDING TO MODIFIED ROBSON’S CLASSIFICATION AT TERTIARY CARE CENTRE IN JAIPUR, RAJASTHAN, INDIA

According to WHO guidelines and US Healthy initiative 2000, the cesarean section rate should not be beyond 15 %. The aim of this study is to analyze caesarean section rate at tertiary care centre according to Modified Robson’s classification. Methods: The present study was carried out retrospectively at Department of Obstetrics & Gynecology, SMS Medical College, Jaipur, Rajasthan from May 2023 to Nov2023. All women delivered during this period were classified according to modified Robson’s classification. For each group, the caesarean section rate within the group and its contribution to overall caesarean section rate were calculated and results were noted as per Modified Robson’s criteria.  Results: Highest contribution to the total CS rate was made by Group 5 (previous cesarean, singleton, cephalic, > or equal to 37 weeks), accounting for 40.65% of all CSs, with CS rate of 95.83%. High CS rates were also observed in Group 6 (nulliparous breech) and Group 7 (multiparous breech) having a 100% CS rate. Group 2 (Nulliparous, singleton, cephalic, > or equal to 37 weeks) had a higher CS rate (48.33%) than Group1.Group 3 & 4 (Multiparous, singleton, cephalic, > or equal to 37 weeks) had relatively lower CS rates (19.53% & 30.56%, respectively). Conclusions: Modified Robson’s classification is easily implementable and effectively utilized in analyzing caesarean sections rate to guide us to form strategies to avoid unnecessary sections.