ASSESSMENT OF CAESAREAN SECTION TRENDS BY USING ROBSON’S TEN GROUP CLASSIFICATION SYSTEM IN A TERTIARY CARE HOSPITAL IN WEST BENGAL, INDIA: A RETROSPECTIVE ANALYSIS

Introduction: The increasing trends for caesarean section (CS) not only in India but also globally have been a cause of concern. With the aim of comparing and analyzing CS rates worldwide, the WHO suggests Robson’s ten group classification system (RTGCS). Aims and Objectives: To find the groups of women with high CS rate which will help policymakers to target that specific groups of women for the reduction of overall CS. Materials and Methods: This was a retrospective study design using hospital records for women delivered between January 1, 2021 and December 31, 2021. Data were entered and analyzed using Excel and presented in percentages after using RTGCS. Results: Out of total 12645 women delivered during the study period, 7180(56.78%) were delivered by CS. The high CS rates were in group 9 (abnormal lie) – 100%, group 6 (breech nulliparous) -94.73%, group 5 (previous CS) -93.67%. In respect of all CS, the maximum contribution was done by group 5 (31.03%), group 1 (23.90%) and group 10 (20.55%). Conclusions: The result indicates that group 5 (previous CS) was the most common indication. Trial of labour after CS should be practiced as a routine. CTG (cardiotocography) should not be used as a tool for monitoring labour patient rather than clinical examination and maintaining partograph for each and every patient who is in active labour should be done in labour room to reduce the Group 1 CS rate.