Department of Obstetrics and Gynecology, Women's Health Hospital, Assiut, Egypt.
Int J Gynaecol Obstet. 2013 Nov;123(2):119-23. doi: 10.1016/j.ijgo.2013.05.011. Epub 2013 Jul 31.
To evaluate the feasibility of using the Robson Ten Group Classification System (TGCS) for cesarean delivery (CD) indications at institutional level.
Prospective clinical audits of women delivering by CD at Women's Health Hospital, Assiut, Egypt, were conducted in 2008 and 2011. The CD rates overall and in each Robson group were calculated, as was the contribution of each group to the overall CD rate. In addition, the CD indications in each group were analyzed.
The CD rate was 32% (443/1357) in 2008 and 38% (626/1628) in 2011. The most common CD indication at both time intervals was a previous CD. Multiparas without uterine scar, a single cephalic term pregnancy, and spontaneous labor (Robson Group 3) comprised the largest group of women undergoing CD, followed by nulliparas with a single cephalic term pregnancy and spontaneous labor (Group 1), and multiparas with a scarred uterus and a single cephalic term pregnancy (Group 5). Group 5 was the largest contributor (30%) to the overall CD rate, followed by Groups 1 and 4 (10% each).
The TGCS can be applied at institutional level. It helps in planning strategies for specific subgroups of women to reduce CD rates and improve outcomes.
评估在机构层面使用 Robson 十组分类系统（TGCS）评估剖宫产（CD）指征的可行性。
2008 年和 2011 年在埃及 Assiut 的妇女健康医院对行 CD 分娩的妇女进行了前瞻性临床审核。计算了总体 CD 率和每个 Robson 组的 CD 率，以及每个组对总体 CD 率的贡献。此外，还分析了每个组的 CD 指征。
2008 年 CD 率为 32%（443/1357），2011 年为 38%（626/1628）。在两个时间间隔内最常见的 CD 指征均为既往 CD。无子宫瘢痕的多产妇、单胎足月妊娠和自然分娩（Robson 组 3）是行 CD 最多的妇女群体，其次是无瘢痕的单胎足月妊娠和自然分娩的初产妇（组 1），以及有瘢痕子宫和单胎足月妊娠的多产妇（组 5）。组 5 对总体 CD 率的贡献最大（30%），其次是组 1 和组 4（各占 10%）。
TGCS 可在机构层面应用。它有助于为特定的妇女亚组制定策略，以降低 CD 率并改善结局。
