Adoption of Robson's Ten Group Classification System (RTGCS) to Analyse Caesarean Section Rates at a Tertiary Care Centre in Pakistan

Abstract

Objective: To assess the utility of Robson's ten group classification system (RTGCS) as an auditing tool for cae- sarean section rates. Methods: The present study was conducted by collecting data retrospectively from hospital records of Gynaecology and Obstetrics Unit 3, Abbasi Shaheed Hospital for the years 2013 and 2016. The rates of both years were com- pared in terms of RTGCS. After the initial audit in 2013, a three point strategy was implemented and the audit cycle repeated. Results: During the year 2013, 1986 women delivered in the hospital, 610 underwent caesarean section. The cae- sarean rate for the year was 30.7%. In the year 2016, 1560 women delivered at the unit, out of which, 412 births were by caesarean section. After the implementation of the three point strategy, which was formulated in the light of RTGCS, the caesarean rate was 26.4% in the year 2016. Conclusion: The adoption of RTGCS is the first step to analyse the obstetric practice in a standardised manner.

Keywords

• Caesarean section, clinical audit, tertiary care centre, hospital obstetrics and gynaecology department.