Document Detail


Changing trends of cesarean section births by the Robson Ten Group Classification in a tertiary teaching hospital.
MedLine Citation:
PMID:  22897799     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective. To analyze changing trends of cesarean section (CS) birth rates over an eleven-year period (2000-2010) using the Robson Ten Group Classification System (RTGCS) to identify the main contributors of the rising CS birth rates at a tertiary teaching hospital in Singapore. Design. Retrospective study. Setting. National University Hospital, Singapore. Population or Sample. All women who delivered between 1(st) January 2000 and 31(st) December 2010 (hospital maternity database). Methods. RTGCS was used to classify these women according to parity, past obstetric history, singleton or multiple pregnancy, fetal presentation, gestational age and mode of onset of labor/delivery. Main outcome measures. RTGCS results. Results. From 2000 to 2010 the CS rate increased from 19.9 to 29.6/100 births. Multiparous women with a previous cesarean birth (Group 5) were the greatest contributor to the CS rate, followed by nulliparous women, singleton cephalic full-term pregnancy in spontaneous labor (Group 1). These two groups contributed to 75% of the rise in the CS rate from year 2000 to 2010. Conclusion. The increase in CS rate is attributed largely to the rising CS rate in Group 5, followed by Group 1. We propose that future efforts to reduce overall CS rate should be focused on increasing vaginal birth after cesarean (VBAC) and reduce CS rates in nulliparous women with singleton cephalic full-term pregnancy (Groups 1and 2), which in turn will reduce the number of pregnant women with a previous CS.
Authors:
Cheryl Chong; Lin Lin Su; Arijit Biswas
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-16
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
Yong Loo Lin School of Medicine, National University of Singapore, and National University Health Systems, Singapore.
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