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1

CHAMBERLAIN, G. "Caesarean section rates." Lancet 338, no. 8759 (1991): 125–26. http://dx.doi.org/10.1016/0140-6736(91)90124-8.

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Wilkinson, Chris, Gillian Mcllwaine, Naren Patel, and Harvey Wagman. "Caesarean section rates." Lancet 342, no. 8885 (1993): 1490. http://dx.doi.org/10.1016/0140-6736(93)92968-y.

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Patil, Shruti Bhavi, and Rajitha D. "Robson classification: beyond caesarean rates." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 7 (2023): 2241–46. http://dx.doi.org/10.18203/2320-1770.ijrcog20231941.

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Background: Caesarean rates are increasing globally. Unnecessary caesarean sections are a public health concern and are associated with both short term and long-term risks. Robson’s ten group classification is the accepted classification for caesarean section and implementing it is an effective measure in understanding which group should be focussed to reduce the caesarean section rates. The classification can be used as a framework for assessing perinatal and maternal outcome. Methods: All the deliveries with gestational age more than 28 weeks at Gadag Institute of medical sciences, Karnataka
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S., Siwach, Lakra P., Sangwan V., Shivani, Kansal R., and Mahendru R. "To study the outcome of previous one cesarean pregnancies in a rural tertiary center of Haryana, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (2017): 5008. http://dx.doi.org/10.18203/2320-1770.ijrcog20175017.

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Background: Rising rates of caesarean section is a matter of great concern and TOLAC is an attractive alternative. Analysing outcome of previous one caesarean pregnancies will provide an insight for reducing the caesarean rates and formulating protocols and policies for TOLAC.Methods: A retrospective study of patients of previous one caesarean pregnancy was done from February 2015 to January 2016 and 3 groups were made, ERCS group, failed TOLAC group and successful TOLAC group. The rates of elective repeat caesarean, failed TOLAC, successful TOLAC, maternal complications, neonatal morbidity an
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Hoxha, Ilir, Alban Fejza, Mrika Aliu, Peter Jüni, and David C. Goodman. "Health system factors and caesarean sections in Kosovo: a cross-sectional study." BMJ Open 9, no. 4 (2019): e026702. http://dx.doi.org/10.1136/bmjopen-2018-026702.

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ObjectiveTo investigate the association of caesarean section rates with the health system characteristics in the public hospitals of Kosovo.DesignCross-sectional survey.SettingFive largest public hospitals in Kosovo.Participants859 women with low-risk deliveries who delivered from April to May 2015 in five public hospitals in Kosovo.Outcome measuresThe prespecified outcomes were the crude and adjusted OR of births delivered with caesarean section by health system characteristics such as delivery by the physician who provided antenatal care, health insurance status and other. Additional prespec
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Bailit, JL, and KS Gibson. "Understanding low caesarean rates." BJOG: An International Journal of Obstetrics & Gynaecology 123, no. 5 (2015): 762. http://dx.doi.org/10.1111/1471-0528.13539.

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de Jesus, G. Ramires, N. Ramires de Jesus, F. M. Peixoto-Filho, and G. Lobato. "Caesarean Rates in Brazil." Obstetric Anesthesia Digest 36, no. 1 (2016): 8–9. http://dx.doi.org/10.1097/01.aoa.0000479479.11602.6d.

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Cavallaro, Francesca L., Charles P. Kabore, Rachel Pearson, et al. "Does hospital variation in intrapartum-related perinatal mortality among caesarean births reflect differences in quality of care? Cross-sectional study in 21 hospitals in Burkina Faso." BMJ Open 12, no. 10 (2022): e055241. http://dx.doi.org/10.1136/bmjopen-2021-055241.

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ObjectivesTo examine hospital variation in crude and risk-adjusted rates of intrapartum-related perinatal mortality among caesarean births.DesignSecondary analysis of data from the DECIDE (DECIsion for caesarean DElivery) cluster randomised trial postintervention phase.Setting21 district and regional hospitals in Burkina Faso.ParticipantsAll 5134 women giving birth by caesarean section in a 6-month period in 2016.Primary outcome measureIntrapartum-related perinatal mortality (fresh stillbirth or neonatal death within 24 hours of birth).ResultsAlmost 1 in 10 of 5134 women giving birth by caesar
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Dar, Mudasir Ahmad, Sameer Ahmed Lone, and Rehana Rashid. "Analysis of Caesarean Section Rates by Robson’s Classification." Journal of Evidence Based Medicine and Healthcare 8, no. 20 (2021): 1460–65. http://dx.doi.org/10.18410/jebmh/2021/277.

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BACKGROUND A standard and comprehensive classification system is needed to maintain appropriate Caesarean section (CS) rates like Robson Ten Group Classification System. The present study was conducted to analyse Caesarean section rate and its distribution according to Robson’s classification. METHODS A descriptive study was conducted in the Department of Obstetrics and Gynaecology, Deen Dayal Upadhyay Hospital, Hari Nagar, New Delhi, from August 2018 to May 2019 on pregnant women of more than 28 weeks of gestation admitted for delivery. RESULTS Out of 8099 deliveries, 2924 required Caesarean
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Ahamed, Dr Toufiqua, and Dr Khaleda Jahan. "Caesarean Delivery in a Tertiary Care Hospital; A One-Year Survey." Scholars Journal of Applied Medical Sciences 10, no. 11 (2022): 2036–41. http://dx.doi.org/10.36347/sjams.2022.v10i11.039.

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Background: Caesarean section (CS) rates are growing worldwide. It contributes to substantial maternal and perinatal morbidity and mortality. South Asian countries including Bangladesh have recorded substantial increases in caesarean section rates over the past decade. Prolonged labour and cervical dystocia, hypertensive disorder, malpresentation were also contributing factors for caesarean section. The World Health Organization (WHO) has recognized an ideal caesarean section (CS) rate for a nation of around 10-15%. In recent times the proportion of delivery conducted by caesarean section has
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Dhakal Rai, Sulochana, Pramod Raj Regmi, Edwin van Teijlingen, Juliet Wood, Ganesh Dangal, and Keshar Bahadur Dhakal. "Rising Rates of Caesarean Section in Urban Nepal." Journal of Nepal Health Research Council 16, no. 41 (2019): 479–80. http://dx.doi.org/10.33314/jnhrc.v16i41.1750.

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The rising rate of caesarean section in urban Nepal is alarming as the lack of access for women in rural areas to emergency obstetric care, putting lives at risk. The latter is referred to as ‘Too little too late’. At the same time, the sharp rise in caesarean section rates in cities presents the other extreme: “Too much too soon”. The overuse of caesarean section causes harm, unnecessary costs, and misuse of health resources. Availability of private hospitals and increasing hospital childbirth may contribute to the rising rate of caesarean section. This article highlights the rising rate of c
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Saputera, Mochammad Maulidie Alfiannor, Ahmad Ahmad, Anna Khumaira Sari, and Ayu Soraya. "SELISIH TARIF RUMAH SAKIT TERHADAP TARIF INA-CBG’s PADA PASIEN SECTIO CAESAREA DI RUMAH SAKIT DAERAH IDAMAN BANJARBARU TAHUN 2019." Jurnal Insan Farmasi Indonesia 3, no. 2 (2020): 317–26. http://dx.doi.org/10.36387/jifi.v3i2.599.

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Caesar's operating rate continues to increase in every country, the World Health Organization (WHO) recommends the ideal Caesarean Section Rate (CSR) for a country is around 10% to 15%. INA-CBG’s is a payment with a package system based on the patient’s illness. In implementing the INA-CBG’s system, problems often occur in the financing. The thing that often happens is hospital rates in the Caesarean Sectio exceed INA-CBG’s claims. The study aims to determine the difference between hospital rates with claims of INA-CBG’s in Idaman Hospital Banjarbaru. This study is an observational hospital st
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Khyati, S. Tailor, and D. Goswami Kamal. "Analysis of Caesarean Section according to Robson's Ten Group Classification System at a Tertiary Care Center Rajkot." International Journal of Pharmaceutical and Clinical Research 16, no. 3 (2024): 1613–17. https://doi.org/10.5281/zenodo.11056477.

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<strong>Background:</strong>&nbsp;During the 20th century, in parallel with this decreasing maternal mortality, there has been an increase in the incidence of Caesarean section. Also, the rates of Caesarean section performed with no clear medical or obstetrical indication are rising dramatically. Despite the low maternal mortality associated with Caesarean section, the available studies indicate a crude risk ratio of approximately 10 for maternal mortality with Caesarean section compared with vaginal delivery. In 2011, a systematic review and critical appraisal of available classifications for
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Slotkowski, Rebecca, Ann Anderson Berry, Corrine Hanson, Kaeli Samson, and Dejun Su. "Racial Disparities in Caesarean Delivery Among Nulliparous Women That Delivered at Term: Cross-Sectional Decomposition Analysis of Nebraska Birth Records From 2005–2014." Current Developments in Nutrition 6, Supplement_1 (2022): 716. http://dx.doi.org/10.1093/cdn/nzac061.100.

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Abstract Objectives Previous studies suggest higher rates of caesarean section among women who identify as racial/ethnic minorities. The objective of this study was to understand factors contributing to differences in caesarean rates across racial and ethnic groups. Methods Data was collected from 2005–2014 Nebraska birth records on nulliparous, singleton births occurring on or after 37 weeks gestation (n = 87,908). Risk ratios (RR) and 95% confidence intervals (CI) for caesarean were calculated for different racial and ethnic categories, adjusting for maternal age, marital status, county of r
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Knight, M., and E. A. Sullivan. "Variation in caesarean delivery rates." BMJ 341, oct06 1 (2010): c5255. http://dx.doi.org/10.1136/bmj.c5255.

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Singh, Nidhi, and Manjusha . "Are we operating unnecessarily?: caesarean audit in a single unit of a private tertiary care hospital in North India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 3 (2020): 975. http://dx.doi.org/10.18203/2320-1770.ijrcog20200577.

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Background: Caesarean section emerged as a lifesaving surgery in situations where vaginal delivery could put the mother and fetus at risk. Over the years global rise in caesarean delivery rate has been alarming and may be attributed to changes in medical practice and societal expectations, especially in urban areas and developing countries. Rising caesarean rate is worrisome as it increases maternal morbidity, exposes the mother to future obstetric risks, besides increasing financial burden on the health care system. Caesarean audits could be an effective tool to analyse, understand and propos
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Mahadik, Kalpana, Shany John J. S., and Shivangani Vohra. "Analyzing indications for caesarean delivery in a tertiary care facility in India by Robsons Ten Group Classification System: journey to reduce maternal mortality-audit caesarean rates: a prospective observational design." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 5 (2023): 1319–25. http://dx.doi.org/10.18203/2320-1770.ijrcog20231216.

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Background: Rising caesarean rates pose a challenge to obstetricians, the healthcare system, and the national economy. High rate of caesarean without clear evidence of a decrease in maternal and neonatal morbidity is matter of concern. The era of impatient obstetricians, and caesareans on demand are major contributing factors. The purpose of this study is to validateTGCS classification for indications of caesarean. This would help to audit and streamline the indications of caesarean. Standardization of indications is the need of the hour. Learning from what has happened in background of local
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C., Shanthi, and Mahalakshmi N. K. "A clinical study of effect of standard labour protocols on rates of primary caesarean section at a tertiary care centre, Madurai, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 9 (2018): 3766. http://dx.doi.org/10.18203/2320-1770.ijrcog20183791.

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Background: Caesarean section rates are on the rise all over the world. Primary caesarean section usually determines the future obstetric course of any woman and therefore should be avoided whenever possible. WHO recommended that caesarean rates should not be more than 15 %. In this view we started our study on how to reduce the rate of Primary caesarean section in Tertiary Care Centre, Madurai, India. The objective of the present study was to evaluate how the implementation of universally acceptable standards affects rates of primary caesarean section rates without compromising maternal and f
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Rajkhowa, Dr Nikhil Ranjan, Dr Shireen Barbhuiya, and Dr Binoy Kumar Bora. "Analysis of Caeserean Section Rate, According to Robson’s Criteria at Diphu Medical College and Hospital, Diphu." Scholars Journal of Applied Medical Sciences 9, no. 6 (2021): 1006–10. http://dx.doi.org/10.36347/sjams.2021.v09i06.030.

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Objective: Globally, caesarean section rates are mounting and currently exceed the safe upper limit of 15%.Monitering CS rates using clinical indications and obstetrics sub-group analysis could confirm that women in need have been served. For that purpose, we have analyzed the caesarean section rates in Diphu medical College and hospital, Diphu, Karbianglong with Robsons classification system. Materials and Method: A cross-sectional observational study is undertaken over a period of 6 month in DMCH. Results: Total deliveries in the study period were 1171 births.50.21% delivered by caesarean se
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Moshana, Iyaloo, Hilde Liisa Nashandi, and Taimi Amakali-Nauiseb. "Student nurses’ knowledge of factors contributing to high rates of caesarean section in Namibia: a cross-sectional study." African Journal of Midwifery and Women's Health 19, no. 2 (2025): 1–8. https://doi.org/10.12968/ajmw.2024.0005.

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Background/Aims Caesarean section rates are increasing worldwide, which is concerning because of the associated adverse postoperative effects or complications. This study's aim was to assess third year nursing students’ knowledge of caesarean section and their practices. Methods This cross-sectional descriptive study involved 60 third-year nursing students at the University of Namibia, selected using simple random sampling. Data were collected via self-administered questionnaires and analysed descriptively. Results All participants had witnessed a caesarean section during their course and had
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Poudel, Rekha, Ganesh Dangal, Aruna Karki, et al. "Assessment of Caesarean Section Rates at Kathmandu Model Hospital Using the Robson’s Ten Group Classification System." Journal of Nepal Health Research Council 17, no. 4 (2020): 491–94. http://dx.doi.org/10.33314/jnhrc.v17i4.2117.

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Background: Aims of this study was to assess the caesarean section rate and identify the indications contributing to the same using the Robson’s Ten Group Classification System at Kathmandu Model Hospital.Methods: This was a retrospective study conducted at Kathmandu Model Hospital among women who underwent caesarean section from 1 January to 31 December, 2018 and were grouped according to Ten Group Classification System. The overall caesarean section rate and the contribution of each group was calculated.Results: The overall caesarean section rate was 66.1% (494 among 747 total deliveries) in
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Noor, Tania, Farjana Begum, Saria Tasnim, Mst Tahmina Parvin, Selina Akter Banu, and Razia Akter. "Analysis of Caesarian Section Rates Using Robson’s Ten Group Classification in a Tertiary Care Hospital." Bangladesh Journal of Obstetrics & Gynaecology 36, no. 1 (2023): 5–9. http://dx.doi.org/10.3329/bjog.v36i1.65930.

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Background: Robson, proposed a new classification system, the Robson’s Ten Group Classification to allow critical analysis of assessing Caesarean section rate according to characteristics of pregnancy. Auditing Caesarian section rates can be done using Robson’s classification which in turns helps achieving a uniform basis for comparison across centers and across various countries. The objective was to describe caesarean rates in a tertiary care hospital of Dhaka using Robson’s Ten Groups Classification.&#x0D; Methods: A retrospective study was done in Dhaka Community Medical College &amp; Hosp
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Chien, Patrick. "Global rising rates of caesarean sections." BJOG: An International Journal of Obstetrics & Gynaecology 128, no. 5 (2021): 781–82. http://dx.doi.org/10.1111/1471-0528.16666.

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Tasci, Y., B. Demir, H. Sipahioglu, and S. Erkaya. "Caesarean delivery rates in Turkish adolescents." Journal of Obstetrics and Gynaecology 30, no. 6 (2010): 594–96. http://dx.doi.org/10.3109/01443615.2010.486088.

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Betran, AP, MR Torloni, JJ Zhang, et al. "WHO Statement on Caesarean Section Rates." BJOG: An International Journal of Obstetrics & Gynaecology 123, no. 5 (2015): 667–70. http://dx.doi.org/10.1111/1471-0528.13526.

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Finger, Carla. "Caesarean section rates skyrocket in Brazil." Lancet 362, no. 9384 (2003): 628. http://dx.doi.org/10.1016/s0140-6736(03)14204-3.

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Chamberlain, Geoffrey. "Caesarean section rates in the UK." Lancet 337, no. 8750 (1991): 1167. http://dx.doi.org/10.1016/0140-6736(91)92839-t.

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Manjappa, Anitha Aldur, and Soundara Raghavan Subrahmanian. "Obstetrical outcome in post caesarean pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 11 (2018): 4561. http://dx.doi.org/10.18203/2320-1770.ijrcog20184508.

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Background: Rates of caesarean delivery have increased over past 40 years. The increase has been attributed to liberalization of indications for caesarean sections. Repeat caesarean section is a major contributor to caesarean rates; Vaginal Birth After Caesarean (VBAC) is one of the methods to contain increasing caesarean rates. Success rates of 60-80% have been reported.Methods: This was a descriptive study involving 1000 pregnancies of period of gestation more than 28 weeks with history of one previous caesarean section. The women under study were subjected to either trial vaginal delivery o
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Gomathy E., Gomathy, Kondareddy Radhika, and Triveni Kondareddy. "Use of the Robson classification to assess caesarean section trends in tertiary hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 5 (2018): 1796. http://dx.doi.org/10.18203/2320-1770.ijrcog20181905.

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Background: With caesarean sections on the rise WHO proposes that health care facilities use the Robson's 10 group classification system to audit their C-sections rates. This classification would help understand the internal structure of the CS rates at individual health facilities identify key population groups, indications in each group and formulate strategies to reduce these rates.Methods: This was a cross sectional study for a period of 6 months at a tertiary care hospital in a rural area in Karnataka, South India. Women who delivered during this period were included and classified into 1
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Omwodo, Kimbley Asaso, and Edwin Were. "Comparing adverse maternal and perinatal outcomes in primary caesarean delivery during first versus second-stage of labour in Kenya: An institution-based cohort study." PLOS ONE 18, no. 11 (2023): e0294266. http://dx.doi.org/10.1371/journal.pone.0294266.

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Background As caesarean delivery rates continue to increase globally, so are the number of second-stage caesarean deliveries. Second-stage caesareans may carry additional risk of complications for both the mother and fetus owing to fetal head impaction into the maternal pelvis and manipulations required for delivery. So far, data on this procedure’s outcomes from low resource countries are limited. Objectives To compare adverse maternal and perinatal outcomes between second-stage and first-stage of labour intrapartum primary caesarean deliveries over 12 months at a tertiary referral obstetric
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Negrini, Romulo, Raquel Domingues da Silva Ferreira, Renata Silva Albino, and Carol Amaral Tavares Daltro. "Reducing caesarean rates in a public maternity hospital by implementing a plan of action: a quality improvement report." BMJ Open Quality 9, no. 2 (2020): e000791. http://dx.doi.org/10.1136/bmjoq-2019-000791.

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BackgroundCaesarean rates increased in different parts of the world, rising from 20% to 33% in the USA and from 40% to 55% in Brazil between 1996 and 2011; however, there was no reduction in morbimortality rates. Several factors have been suggested as responsible for this increase, such as health judicialisation, fear of the painful process on the patients’ part and reduction of medical training in vaginal delivery and labour complications. It is urgent to reverse this process and, therefore, a model of actions was created with the intention of engaging the team in order to reduce caesarean ra
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Miazga, Elizabeth, Cheyanne Reed, Alisha Olsthoorn, et al. "Investigating the implementation of a Trial of Labour After Caesarean (TOLAC) delivery bundle with respect to decreasing caesarean delivery rates: a multisite quality improvement initiative." BMJ Open 15, no. 1 (2025): e088734. https://doi.org/10.1136/bmjopen-2024-088734.

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Objectives To study the effect of implementing a Trial of Labour After Caesarean (TOLAC) delivery bundle with respect to decreasing caesarean delivery rates across five hospitals. Design Prospective quality improvement study. Setting Five Canadian hospital sites participated, two academic centres and three community hospitals, with annual delivery rates ranging from 2500 to 7500 per site. Participants All obstetrical patients with a singleton gestation in cephalic presentation and only one previous caesarean delivery were included. Interventions A TOLAC bundle was introduced at each hospital s
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CHOUDRY, ABEERA, AFEERA AFSHEEN, Ayesha Malik, JAVERIA NAUSHEEN, and Saima Masood. "RISING CAESAREAN SECTION RATE." Professional Medical Journal 17, no. 01 (2010): 78–83. http://dx.doi.org/10.29309/tpmj/2010.17.01.1989.

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Objective: Compare indications for caesarean section in Military Hospital Rawalpindi in the year 1999 with the year 2005, sixyears apart, with an aim to identify areas where caesarean section rates could be decreased. Study design: Prospective Survey of caesareansection using information provided by doctors/midwives entering data in labour ward /theater registers. Methods: The study was designed asa process evaluation. Indication for caesarean section, parity, previous caesarean section, emergency / elective, labour / pre labour, presenceof previous caesarean section scar, induced or spontaneo
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Gutiérrez-Martínez, Serena, María Nélida Fernández-Martínez, José Manuel Adánez-García, et al. "Applying the Modified Ten-Group Robson Classification in a Spanish Tertiary Hospital." Journal of Clinical Medicine 13, no. 1 (2023): 252. http://dx.doi.org/10.3390/jcm13010252.

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Background: Caesarean section is necessary to save the lives of mothers and newborns at times, but it is important to perform it only when it is essential due to all the risks involved. This study aimed to examine the rate of caesarean sections performed at a tertiary hospital using the Robson classification to detect methods for the detection of and/or reduction in these caesarean section rates. Methods: A descriptive, cross-sectional study of a retrospective database was carried out. Results: A total of 10,317 births were assessed. The Robson classification was used to assess these intervent
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Kumaresan, Shanmugapriya, and Malarvizhi Loganathan. "Rising rates of second stage caesarean section and its impact on maternal outcome." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 7 (2018): 2681. http://dx.doi.org/10.18203/2320-1770.ijrcog20182751.

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Background: There is an alarming rise in caesarean section leading to increased adverse outcomes for both the mother and fetus when compared with vaginal delivery. With this increasing caesarean section rate, there is a concerning increase in the rate of second stage caesarean section. This study highlights includes the rate of caesarean deliveries in the second stage of labour, the indications for delivery and the associated maternal morbidity in this cohort of women. Methods: This was a prospective cohort review of all women with a singleton, cephalic fetus at term delivered by caesarean sec
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Nadella, Mahathi, Shyam S. Maila, Indira Nagelli, and Kalpana Basany. "Analysis and trends of caesarean sections using Robson’s classification over 7-year period at a rural teaching hospital." Journal of Family Medicine and Primary Care 13, no. 12 (2024): 5550–54. https://doi.org/10.4103/jfmpc.jfmpc_516_24.

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ABSTRACT Background: A ten-group classification system of caesarean section was proposed by Michael Robson in 2001. It is helpful in comparing the rates of caesarean section between hospitals. The objective of this study was to determine the caesarean section rates to analyse trends of caesarean section and classify according to Robson’s categories. Methods: This cross-sectional study was conducted from 2016 to 2022. A total of 3176 women who underwent caesarean section were grouped under Robson’s ten-group classification system. Results: The most common group was Group 5 (All multiparous wome
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Akabuike, J.C., I.G. Eyisi, I.A. Njelita, I. Ezebialu, O.M. Ogelle, and N.M Akabuike. "Caesarean Section Deliveries at Chukwuemeka Odumegwu Ojukwu University Teaching Hospital-Amaku, Awka Anambra State Nigeria: A 5 year review." International Journal of Novel Research in Healthcare and Nursing 11, no. 1 (2024): 153–57. https://doi.org/10.5281/zenodo.10653459.

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<strong>Abstract:</strong> Background: In recent times caesarean section has become a pertinent procedure in the drive to reduce maternal and perinatal mortality and morbidity. However, international health organizations are perturbed by the skyrocketing rates of Caesarian section (C/S). Objective: To determine the rate, indications, complications and outcomes of caesarean section deliveries in Chukwuemeka Odumegwu Ojukwu University Teaching Hospital-Amaku, Awka (COOUTH-Amaku). Materials and Methods: This is a descriptive retrospective study of deliveries in COOUTH-Amaku from Jananury, 2018 to
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S., Spandana, and Amarpali K. Shivanna. "The ten group Robson classification: a retrospective study to identify strategies to optimise caesarean section rates." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 12 (2020): 5082. http://dx.doi.org/10.18203/2320-1770.ijrcog20204958.

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Background: Caesarean section rates have been increasing worldwide. For proper assessment, the ten group Robson classification is recommended by WHO for assessing CS rates. We are analyzing the caesarean section rates by classifying the caesarean sections using modified Robson’s ten group classification. Objective of the current study was to estimate caesarean section rates in our hospital and to classify caesarean section using modified Robson’s ten group classification system.Methods: Current retrospective study was conducted in the department of obstetrics and gynaecology in a tertiary care
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Jose, Jishma, Sendhil Coumary Arumugam, and Syed Habeebullah. "An audit of caesarean section rate based on Robson’s ten group classification system." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 7 (2020): 2803. http://dx.doi.org/10.18203/2320-1770.ijrcog20202712.

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Background: Caesarean section (CS) rates are rising worldwide and is a major public health concern. There is lack of evidence supporting the maternal and neonatal benefits with the increasing CS rates. Robson’s ten group classification system serves as an initial structure with which caesarean section rates can be analysed. RTGCS helps us to analyse and allow us to bring changes in our practice.Methods: This was a hospital based cross sectional study conducted over a period of 10 months during the year 2018, which involved 1478 pregnant women, out of which 693 underwent CS, those who underwent
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Olofinbiyi, Babatunde Ajayi, Jacob Olumuyiwa Awoleke, Oluwole Dominic Olaogun, et al. "Caesarean Section Audit: The Use of the Robson’s Criteria in a Teaching Hospital with Limited Advanced Fetal Surveillance." International Journal of Innovative Research in Medical Science 5, no. 07 (2020): 217–21. http://dx.doi.org/10.23958/ijirms/vol05-i07/907.

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Background: Rising caesarean section rates have become a global health concern. The need for a contemporary objective tool for comparison of rates, optimizing and standardizing the use of caesarean section has been met by the Robson’s Ten-Group classification. However, there are no available studies auditing caesarean section rates in southern Nigeria using these criteria. Methods: All mothers delivered by caesarean section over a 12-month period at Ekiti State University Teaching Hospital, Ado – Ekiti, were prospectively captured and classified according to Robson’s 10-group classification wi
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Hassan, Chrifi, Assarag Bouchra, Boudallaa Ikram, Bititi Abderrahmane Amine, and Soulaymani Abdelmajid. "CAESAREAN SECTION RATES AT THE HOSPITAL MATERNITY: A CASE STUDY IN MOROCCO USING THE ROBSON CLASSIFICATION SYSTEM." International Journal of Advanced Research 10, no. 05 (2022): 497–506. http://dx.doi.org/10.21474/ijar01/14732.

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Caesarean section rates continue to rise worldwide, although the reasons appear to be multiple and complex. To better understand and control the phenomenon, many countries have started to use the 10-group classification of Caesarean sections, also known as the Robson classification. This classification will monitor and compare standardized, reliable, consistent, and indication-oriented Cesarean section rates. As part of a quality improvement initiative aimed at rationalizing Caesarean section rates, our descriptive and retrospective study was conducted on a population of parturients who had gi
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Odent, Michael R. "Making sense of rising caesarean section rates: Reducing caesarean section rates should not be the primary objective." BMJ 329, no. 7476 (2004): 1240.3. http://dx.doi.org/10.1136/bmj.329.7476.1240-b.

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Kothiyal, Shivani, Anjoo Agarwal, Vinita Das, Amita Pandey, and Smriti Agarwal. "High rate of caesarean section in cases of intrauterine fetal demise in a low resource setting: Why?" International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 9 (2018): 3748. http://dx.doi.org/10.18203/2320-1770.ijrcog20183788.

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Background: Stillbirth as an obstetric complication is emotionally devastating for the women as well as the clinician and having a caesarean section for stillbirth is even more catastrophic. The aim of the present research was to study the indications of caesarean section in women with intrauterine fetal demise in a low resource setting.Methods: This was an observational study for assessing the indication of caesarean section among 222/ 550 stillbirths from June 2013 to May 2014 in a tertiary care teaching hospital of North India. 7024 births occurred in the institution over a period of 1 year
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Bhatara, Urvashi, and Padmasri . "Rising rates of caesarean section: an indicator of defensive medicine practiced by obstetricians." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 6 (2018): 2371. http://dx.doi.org/10.18203/2320-1770.ijrcog20182352.

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Background: Defensive medicine can be in the form of excessive tests, procedures, surgeries, or visits by the doctors to primarily reduce their exposure to legal liabilities. It also includes avoidance of high risk patients or procedures. Medical profession has been included under consumer protection act which has led in developing hostile environment for medical practitioners. This has led to increase in defensive medicine. In obstetrics and gynaecology incorporation of defensive medicine can be scrutinized by observing trends in caesarean section.Methods: It is a retrospective study carried
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Kang, Lili, Hai Gu, Shangyuan Ye, et al. "Rural–urban disparities in caesarean section rates in minority areas in China: evidence from electronic health records." Journal of International Medical Research 48, no. 2 (2019): 030006051987799. http://dx.doi.org/10.1177/0300060519877996.

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Objective To assess the rural–urban disparity in caesarean section rates using electronic health records from hospitals located in the Province of Inner Mongolia, which is a minority area in Northeastern China. Methods The study examined the electronic health records of women that gave birth in three major public hospitals between January 2012 and December 2016. Multinomial regression analyses were used to estimate rural–urban disparities in caesarean section rates. Results Data from 61 903 women were examined. Caesarean section rates increased slightly over the study period and the rate was s
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Sharma, Sakshi Pramod, and Shamrao Ramji Wakode. "Vaginal birth after previous two or more caesarean sections: a systematic review." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 13, no. 8 (2024): 2112–18. http://dx.doi.org/10.18203/2320-1770.ijrcog20242080.

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Vaginal birth after caesarean section (VBAC) is an appropriate solution to decrease the caesarean section rates and also to minimise the morbidities and complications due to repeat caesarean sections. Though trial for vaginal birth, that too after two or more caesarean sections is challenging, it will certainly help in reducing caesarean rates worldwide if tackled by proper decision making and vigilant observation. Present study is intended to review the research publications surrounding VBAC-2. Search was carried out for gathering research publications up to April 2024 by using the keywords o
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Singh, Swati, and Anil Kumar Malhotra. "A cross-sectional study on factors influencing caesarean section rates in a tertiary care hospital, Jhansi (Uttar Pradesh)." International Journal Of Community Medicine And Public Health 8, no. 9 (2021): 4404. http://dx.doi.org/10.18203/2394-6040.ijcmph20213544.

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Background: Worldwide rise in caesarean delivery (CD) rates during the last three decades has been a cause of alarm. The rates of such delivery have increased dramatically in recent years from 12% in 1990 to 24% in 2008. Tertiary care centers have high caesarean section rates but areas where health care facilities are not available may have maternal deaths due to lack of C-section facilities. The present study was conducted to determine the prevalence of caesarean section, to assess the association between caesarean section with socio-demographic determinants and maternal risk factors.Methods:
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Lee, Yuen Yi (Cathy), Christine L. Roberts, Jillian A. Patterson, et al. "Unexplained variation in hospital caesarean section rates." Medical Journal of Australia 199, no. 5 (2013): 348–53. http://dx.doi.org/10.5694/mja13.10279.

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Fielke, Rick J. "Unexplained variation in hospital caesarean section rates." Medical Journal of Australia 200, no. 2 (2014): 84. http://dx.doi.org/10.5694/mja13.11200.

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Lee, Yuen Yi (Cathy), Christine L. Roberts, and Jillian A. Patterson. "Unexplained variation in hospital caesarean section rates." Medical Journal of Australia 200, no. 2 (2014): 84–85. http://dx.doi.org/10.5694/mja13.11312.

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