Robson classification to assess caesarean section in nulliparous women

Abstract

Background and aim The cesarean section (CS) is a major surgical procedure with a high level of risk, and should only be performed under specific, well-defined indications. The aim of this study was to study the rate and indications of CS in nulliparae corresponding to Robson’s classification. Patients and methods This observational prospective research was performed on 1800 nulliparous females separated into two groups: the CS group included 800 women, and the normal delivery group (normal vaginal delivery induced spontaneously) included 1000 women in El Maragha hospitals, the Department of Obstetrics and Gynecology. This study lasted 1 year from January 2022 to December 2022. Results Regarding Robson’s classification, fetal and maternal complications, there was a highly statistically significant variation among both groups of study (P£0.001). Concerning medical disorders, there was not statistically significant variation among both groups of study (P=0.641). Number of patients with maternal request as the CS indication in the study population was 190 (23.75%). There were no statistically significant variations among both groups as regards group 1 (gestational age) GA, group 2A GA, and group 6 GA. Conclusion Robson groups 2b, one were the largest contributors to the overall CSs performed in our research. According to the Robson classifications, the most significant indications of CS were maternal request and failure of progress. The average gestational was 39.51±1.13 weeks. In most cases, labor began spontaneously, with common maternal complications, including Hge (PPH) and common fetal complications, including NICU admission.

Keywords

• cesarean section
• nulliparous women
• robson classification