Changing trends in cesarean section deliveries in a tertiary hospital using the Robson Ten Group Classification

Yıl 2023, , 301 - 304, 22.03.2023

Ali Buhur , Dilek Erdem

https://doi.org/10.16899/jcm.1248553

Cited By: 2

Öz

Objective: This study aimed to identify and highlight the changing trends in cesarean deliveries in a tertiary hospital using the Robson Ten Group Classification
Method: A retrospective cohort study included 103745 patients admitted to Istanbul Kanuni Training and Research Hospital's Obstetrics and Gynecology Department between January 1, 2012, and December 31, 2021. Ten groups were established based on five basic obstetric factors: parity, labor initiation, gestational age, number of fetuses, and fetal presentation. All live or dead births over 500 g or 20 gestational weeks were included in the study. Women with missing file information were excluded from the study. Total number of cesarean sections in the group, total number of women in each group, group size (%), group cesarean rate (%), absolute group contribution to general cesarean section rate (%) group contribution relative to general cesarean section rate (%) were calculated. Cesarean section indications were evaluated in 10 categories and their numbers and rates were recorded. Statistical analyzes were performed using SPSS version 24.0 for Windows.
Results: Our study’s average CS rate from 2012 to 2021 was 45.77%. The largest contributions to the total cesarean section rate were in group 5 (20.69%), group 3 (5.99%), and group 1 (5.75%).
Conclusion: In our study, Robson groups 5, 3, and 1 comprised the majority of contributors to the total cesarean section performed. Any effort to reduce the rate of CS should focus on these subgroups.

Anahtar Kelimeler

Robson Ten Group Classification, cesarean section, pregnancy

Sezaryan doğum oranlarındaki değişimin üçüncü basamak bir hastanede Robson On Grup Sınıflandırması kullanılarak analizi

Öz

Amaç: Bu çalışmanın amacı, üçüncü basamak bir hastanede sezaryen doğumlardaki değişen eğilimleri Robson On Grup Sınıflandırmasını kullanarak belirlemek ve vurgulamaktı
Yöntem: Bu retrospektif çalışmaya 01.01.2012 - 31.12. 2021. tarihleri arasında SBÜ İstanbul Kanuni Sultan Süleyman EA Hastanesi Kadın Hastalıkları ve Doğum polikliniğine başvuran 103745 hasta dahil edildi.. Fetüs sayısı ,parite , doğum başlangıcı ,gebelik yaşı , fetal presentasyon gibi beş temel karakteristik özelliklerine doğumlar Robson sınıflamasına göre on gruba ayrıldı. 500 gramın üzerindeki veya 20 haftanın üzerindeki ölü yada canlı tüm doğumlar çalışmaya dahil edildi. Dosya bilgileri eksik olan kadınlar çalışma dışı bırakıldı.Gruptaki toplam sezaryen sayısı, her gruptaki toplam kadın sayısı, grup büyüklüğü(%), grup sezaryen oranı (%) , genel sezaryen oranına mutlak grup katkısı (%) genel sezaryen oranına göreli grup katkısı (%) hesaplandı. Sezeryan endikasyonları 10 kategoride değerlendirilerek sayıları ve oranları kaydedildi. İstatistiksel analizler , SPSS programının Windows için 24.0 versiyonu, kullanılarak yapıldı..
Bulgular: Araştırmamızda , 2012'den 2021'e kadar ortalama CS oranı %45,77 idi. Toplam sezaryen oranına en büyük katkılar grup 5, (20.69%) , grup 3 (%5.99)ve ve grup 1(5.75% ) te idi.
Sonuç: Çalışmamızda, Robson grupları 5, 3 ve 1, yapılan toplam sezaryene katkıda bulunanların çoğunluğunu oluşturdu. CS oranını düşürmeye yönelik herhangi bir çaba, bu alt gruplara odaklanmalıdır.

Anahtar Kelimeler

Robson Ten Group Classification, cesarean section, pregnancy

Kaynakça

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