Reducing of cesarean section rate in Krajská nemocnice Liberec – Robson classification

Czech version

Authors: D. Zemanová ¹; R. Čeloud ¹; P. Velebil ²; I. Bydžovská ¹
Authors‘ workplace: Gynekologicko-porodnické oddělení, Krajská nemocnice Liberec, primář MUDr. P. Černý ¹; Ústav pro péči o matku a dítě, ředitel doc. MUDr. J. Feyereisl, CSc. ²
Published in: Ceska Gynekol 2018; 83(2): 103-107

Overview

Objective:
A retrospective analysis of caesarean section rates using modified Robson classification in years 2013–2016. Discussion of factors influencing the decrease of caesarean section rate.

Design:
Restrospective data analysis.

Setting:
Gynecology and obstetrics department Krajská nemocnice Liberec.

Methods:
We compared the caesarean section rates at our department between years 2013–2016 using the modified Robson classification system. The groups were analysed both separately and mutually to identify the factors contributing to the decrease of caesarean section rate in concrete subgroups.

Results:
We experienced a remarkable reduce in caesaren section rate from 24.6% in 2013 to 14.5% in 2016.

Conclusion:
The Robson classification provides objective caesarean section rates comparisons. This method enables further interpretation of outcomes and policy assessment to reach the optimal caesarean section rate.

Keywords:
cesarean section, spontaneus delivery, Robson modified classification, indication for cesarean section

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Article was published in

Czech Gynaecology

2018 Issue 2