An Analysis of Caesarean Sections in a Community Cottage Hospital in Nigeria's Niger Delta Using The Robson Classification.

ABSTRACT

Background: The Robson ten group classification is recommended for classifying and comparing Caesarean Sections. This study aimed to review and classify all CS done at Obio Cottage hospital in 2018 using the Robson classification and to also identify areas of possible intervetions in reducing the CS rates. Methodology: A retrospective review of all caesarean sections at Obio Cottage hospital from January to December 2018 using the Robson classification. Results: The CS rate was 32.4%. Three groups - Groups 1 (27.% ), 2 (11.2%) and 5 (30.1%) contributed 68.5% to the overall CS rate. Group 8 had the least contribution to CS with 3.4%. Women in Robson group 3 had the lowest group CS rate of 6.86%, while the group CS rate for group 1, and 5.1 were 26.34% and 70.49% respectively. Conclusion: The CS rate of 32.4% is comparatively high. This analysis of the CS using the Robson classification system has revealed areas for further scrutiny and intervention. There is need to review the package of care provided to women in labour and increase the number of women offered a trial of labour after a Caesarean birth.