Jiandani Farah, Somalwar Savita, Bhalerao Anuja
Department of Obstetrics and Gynaecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, IND.
Cureus. 2023 Jun 28;15(6):e41091. doi: 10.7759/cureus.41091. eCollection 2023 Jun.
The prevalence of caesarean section (CS) is rising rapidly. However, it should be carried out only under valid obstetric indications due to the various complications associated with it. Therefore, to record CS incidences, Robson's Ten Group Classification System (TGCS) was implemented. This review focuses on the prevalence of CS rates found in various studies and identifies the clinically important groups that were most involved in CS deliveries. Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Review (PRISMA-ScR) guidelines were followed in this review. "Caesarean delivery" OR "Robson's Ten Group" OR "Classification System" were keywords used to search literature. Twenty-one studies were included in this review based on eligibility criteria. We concluded that group 5 was the major contributing factor for the increase in CS rates followed by group 10, group 4, group 2, and group 1. Previous CS was the most common factor responsible for increasing CS rates. We emphasize that Robson's TGCS is an essential parameter for recording CS rates and is simple to use for CS rate comparison.
剖宫产（CS）的发生率正在迅速上升。然而，由于其相关的各种并发症，仅应在有效的产科指征下进行剖宫产。因此，为了记录剖宫产发生率，实施了罗布森十组分类系统（TGCS）。本综述重点关注各项研究中发现的剖宫产率，并确定剖宫产分娩中涉及最多的临床重要组。本综述遵循系统评价和Meta分析扩展的范围综述（PRISMA-ScR）指南。“剖宫产分娩”、“罗布森十组”或“分类系统”是用于检索文献的关键词。根据纳入标准，本综述纳入了21项研究。我们得出结论，第5组是剖宫产率上升的主要促成因素，其次是第10组、第4组、第2组和第1组。既往剖宫产是导致剖宫产率上升的最常见因素。我们强调，罗布森TGCS是记录剖宫产率的重要参数，并且易于用于剖宫产率比较。
