Original scientific paper
Analysis of Cesarean Section Delivery at Nova Bila Hospital according to the Robson Classififi cation
Ljiljana Bilobrk Josipović
orcid.org/0000-0002-0381-6342
; »Dr. Fra Mato Nikolić« Croatian Hospital, Nova Bila, Bosnia and Hercegovina
Jadranka Dizdarević Stojkanović
; University Medical Center, Gynecology and Obstetrics Clinic, Sarajevo, Bosnia and Hercegovina
Irma Brković
orcid.org/0000-0002-2087-9409
; University of Zagreb, Faculty of Humanities and Social Sciences, Department of Psychology, Zagreb, Croatia
Abstract
An increase in Cesarean section birth rate is evident worldwide, especially in developed and developing countries.
Since this trend is rapidly gaining epidemic status with unpredictable consequences regarding the reproductive and
overall women’s health, there is a need for systematic collection and analysis of Cesarean section occurrence data. At this
moment, there is no standardized, internationally accepted classifi cation that would be easy to understand and simple
to apply. In 2001, Robson Cesarean section classifi cation in ten groups, which might satisfy good classifi cation criteria,
was published. In this paper, we have retrospectively collected and sorted the data on Cesarean section births from the
»Dr. Fra Mato Nikolić« Croatian Hospital in Nova Bila, according to Robson classifi cation, for the period from January
1st, 1998 to December 31st, 2007. During this period, 6603 women have given birth. Of these, 1010 opted for Cesarean section
(15.30%). The largest group of women giving birth belongs to group 3 (multiparous, single pregnancy, head down, 37
weeks gestation age or more, spontaneous labor), where 49.74% of all the analyzed births belong. The largest group for
those with Cesarean sections is group 5 (previous Cesarean section) with 26.93% of all the Cesarean sections. Our results
are similar to the results of studies done elsewhere in the world. Robson classifi cation identifi es the risk groups with high
Cesarean section percentage and is appropriate for long-term tracking and international comparison of the recognized
increase of the Cesarean section trend.
Keywords
Caesarean section; Robson Ten Group Classifi cation System (TGCS)
Hrčak ID:
147704
URI
Publication date:
30.3.2015.
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