Jankovic Svetlana, Rovcanin Marija, Tomic Ana, Jokic Aleksa, Kostic Konstantin, Grujic Tijana, Orlic Natasa Karadzov
Clinic for Gynecology and Obstetrics, Narodni Front, Kraljice Natalije 62, 11000 Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, Dr Subotica Starijeg 8, 11000 Belgrade, Serbia.
J Clin Med. 2025 Apr 15;14(8):2700. doi: 10.3390/jcm14082700.
: Cesarean section (CS) is an essential intervention in obstetric care, significantly contributing to reducing the rate of maternal and neonatal mortality and morbidity. It has been recommended that the acceptable CS rate should not go beyond 10-15% across all deliveries. Nonetheless, the CS rate has escalated over the past decades. To understand the factors contributing to the rise in CS rates, the Robson classification that relies on pre-labor, intrapartum, and postpartum parameters has been proposed. As no journal-reported data are currently available on the implementation of the Robson classification in Serbia, we aimed to identify trends in CS rates, as well as the Robson groups with the highest risk for CS at our tertiary care clinic. : We conducted a retrospective, cross-sectional analysis of 6574 women who gave birth to live fetuses weighing a minimum of 500 g and with a gestational age of at least 22 weeks. : The overall CS rate was 30.5%, with a statistically significant difference in CS rates between different Robson groups ( = 2703.9, < 0.001). Robson groups 1 (31.9%), 3 (30.4%), and 5 (10.3%) were the largest, and groups 9 (0.9%) and 7 (1.3%) were the smallest. The CS rate in group 5 was the highest (30.3%), followed by groups 1 (20.3%) and 2 (13.2%). Group 5 was the largest contributor to the absolute CS rate (9.25%), followed by groups 1 (6.21%) and 2 (4.03%). : We effectively implemented Robson classification for monitoring CS rates and distinguishing specific groups that individually contribute to these rates.
剖宫产是产科护理中的一项重要干预措施，对降低孕产妇和新生儿的死亡率及发病率有显著贡献。建议所有分娩的剖宫产率不应超过10%-15%。尽管如此，在过去几十年中剖宫产率仍在上升。为了解导致剖宫产率上升的因素，有人提出了基于产程前、产程中和产后参数的罗布森分类法。由于目前尚无塞尔维亚实施罗布森分类法的期刊报道数据，我们旨在确定剖宫产率的趋势，以及我们三级护理诊所中剖宫产风险最高的罗布森组。：我们对6574名分娩出至少500克活胎儿且孕周至少22周的妇女进行了回顾性横断面分析。：总体剖宫产率为30.5%，不同罗布森组之间的剖宫产率存在统计学显著差异（=2703.9，<0.001）。罗布森组1（31.9%）、3（30.4%）和5（10.3%）人数最多，组9（0.9%）和7（1.3%）人数最少。组5的剖宫产率最高（30.3%），其次是组1（20.3%）和组2（13.2%）。组5对绝对剖宫产率的贡献最大（9.25%），其次是组1（6.21%）和组2（4.03%）。：我们有效地实施了罗布森分类法来监测剖宫产率，并区分对这些比率有单独贡献的特定组。
