A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye.

BACKGROUND

Globally, including in Turkiye, increasing caesarean section (CS) rates are a crucial public health concern. The Robson 10-group classification system, which is based on obstetric features, is the global standard for monitoring, evaluating, and comparing CS rates in various healthcare settings. Documenting CS rates in tertiary referral centre using the Robson 10-group classification system was the goal of this study.

METHODS

This retrospective study was conducted on women with deliveries over four years, from June 1, 2020, to October 1, 2024, and categorised according to the Robson 10-group classification system. For pairwise comparisons, numerical and nominal variables were analysed with independent t-test and Pearson's chi-squared test, respectively. A p-value of less than 0,05 was accepted as statistically significant. All variables were expressed with 95% confidence intervals (CI).

RESULTS

A total of 63.809 deliveries were eligible for analysis. The overall CS rate was 54,2%, with variations across different years. The rates ranged from 42,2% in 2020 to 59,9% in 2024. Turkish cases showed a higher rate of CS at 56,2%, compared to 49,6% for refugees. Group 5 was the largest contributor among these groups in terms of (23,9%) CSs, followed by corresponding contributions, Group 10 with 7,7%, and Group 2 with 6,0%.

CONCLUSIONS

Our findings suggest that the overall caesarean section rate was 54,2%, with Group 5 being the primary contributor, followed by Groups 10, 2, and 1.