ANALYSIS OF CAESAREAN SECTION RATES USING THE ROBSON’S TEN GROUP CLASSIFICATION SYSTEM (TGCS) AT TERTIARY LEVEL HEALTHCARE FACILITIES IN RAWALPINDI, PAKISTAN: A CROSS-SECTIONAL STUDY

Authors

  • Rizwana Chaudhri Rawalpindi Medical University, Rawalpindi-Pakistan
  • Kauser Hanif Centre for Global Public Health-Pakistan
  • Humaira Bilquis Rawalpindi Medical University, Rawalpindi-Pakistan
  • Tahira Ezra Reza Centre for Global Public Health-Pakistan https://orcid.org/0000-0001-7935-0350
  • Qudsia Uzma World Health Organization Country Office-Pakistan https://orcid.org/0000-0001-8472-1910
  • Ammarah Khan Centre for Global Public Health-Pakistan https://orcid.org/0000-0001-9907-0591
  • Atiya Aabroo Ministry of National Health Services, Regulation and Coordination-Pakistan
  • Fazal ur Rehman Centre for Global Public Health-Pakistan https://orcid.org/0009-0009-0052-5572
  • Faran Emmanuel Institute for Global Public Health, University of Manitoba, Winnipeg-Canada

DOI:

https://doi.org/10.55519/JAMC-01-13094

Keywords:

Cesarean section, TGCS, Robson Guidelines, Pakistan, CS rates

Abstract

Background: Robson’s Ten Group Classification System (TGCS) is recommended as a global standard for assessing, monitoring, and comparing Cesarean Section rates at all levels. This study was conducted to audit CS deliveries using the Robson TGCS to understand the current CS  practices and analyze the groups of women who are mainly contributing to the rising rates of CS in Pakistan. Methods: A cross-sectional study was conducted in three tertiary care hospitals in Rawalpindi, Pakistan. All women who gave birth in these health facilities between, June to August 2019, were included in the study. Data were collected using a standardized proforma and analyzed using Robson guidelines to calculate each group’s relative size, group-specific CS rate, and relative and absolute group contributions toward overall Caesarean section rates. Results: A total of 5,657 deliveries were analyzed. Out of these, 2255 (40%) were Cesarean sections. Women in Group 3 made the largest contribution to the obstetric population accounting for 26.3% of all deliveries. The largest contributors to the overall CS rate were Group 5 (41.7 %), Group 10 (17.3%), and Group 2 (12.7%). Conclusion: A CS rate of 39.9% was reported, which is much higher than the WHO recommended optimal rate of CS. Group 5 (previous CS) was found to be the largest contributor to the overall CS rates followed by Group 10. This study provides a model for institutionalizing RTGCS and should be replicated in other districts of Pakistan.

Author Biography

Ammarah Khan, Centre for Global Public Health-Pakistan

Correspondence:

Center for Global Public Health-Pakistan

Cell: +92 324 527 5944

Email: ammarah9312@gmail.com

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Published

2025-03-15

How to Cite

1.
Chaudhri R, Hanif K, Humaira Bilquis, Ezra Reza T, Uzma Q, Khan A, et al. ANALYSIS OF CAESAREAN SECTION RATES USING THE ROBSON’S TEN GROUP CLASSIFICATION SYSTEM (TGCS) AT TERTIARY LEVEL HEALTHCARE FACILITIES IN RAWALPINDI, PAKISTAN: A CROSS-SECTIONAL STUDY. J Ayub Med Coll Abbottabad [Internet]. 2025 Mar. 15 [cited 2025 Aug. 7];37(1):63-8. Available from: https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/13094

Issue

Vol. 37 No. 1 (2025): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

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ORIGINAL ARTICLE

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Copyright (c) 2025 Rizwana Chaudhri, Kauser Hanif, Humaira Bilquis, Tahira Ezra Reza, Qudsia Uzma, Ammarah Khan, Atiya Aabroo, Fazal ur Rehman, Faran Emmanuel

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