PDF(Pubmed)
Abstract：
UNASSIGNED: Globally, the rising caesarean section (CS) rate is of great concern as it is associated with increased maternal morbidity and mortality in subsequent pregnancies. It is essential to reanalyze the CS trend and curb the rising menace using a standardized uniform auditing system. This study aimed to analyze and evaluate the trend of CS using Modified Robson\'s Ten Group classification system (RTGCS) in a teaching institution in Uttarakhand.
UNASSIGNED: This cross-sectional study from October 2022 to March 2023 included 260 women undergoing elective or emergency CS. Data on maternal demographics, obstetrics, labour, and fetal outcomes were recorded. Indications for CS were analyzed using modified RTGCS.
UNASSIGNED: The overall CS rate for the study period at our hospital was 31.4%. The major contributors to CS were Group 2 (21.5%), Group 10 (21.5%), and Group 5 (20.7%), while Group 6 and Group 8 contributed 10% and 7.6%, respectively. Group 9 had the least share (1%) in the study population. The two main indications for which CS was performed were prior Lower Section Caesarean Section (LSCS) and fetal distress, contributing to 24.6% and 19.2%, respectively. CS for breech presentation was done in 16% of the total cases.
UNASSIGNED: Modified RTGCS is an easy and effective method for auditing CS, preventing unnecessary procedures, and improving maternal care. Its implementation is crucial in addressing the increasing prevalence of CS and ensuring better maternal and fetal outcomes.
UNASSIGNED: This cross-sectional study from October 2022 to March 2023 included 260 women undergoing elective or emergency CS. Data on maternal demographics, obstetrics, labour, and fetal outcomes were recorded. Indications for CS were analyzed using modified RTGCS.
UNASSIGNED: The overall CS rate for the study period at our hospital was 31.4%. The major contributors to CS were Group 2 (21.5%), Group 10 (21.5%), and Group 5 (20.7%), while Group 6 and Group 8 contributed 10% and 7.6%, respectively. Group 9 had the least share (1%) in the study population. The two main indications for which CS was performed were prior Lower Section Caesarean Section (LSCS) and fetal distress, contributing to 24.6% and 19.2%, respectively. CS for breech presentation was done in 16% of the total cases.
UNASSIGNED: Modified RTGCS is an easy and effective method for auditing CS, preventing unnecessary procedures, and improving maternal care. Its implementation is crucial in addressing the increasing prevalence of CS and ensuring better maternal and fetal outcomes.
摘要：
■全球，剖腹产(CS)率上升令人非常关注,因为它与后续妊娠中产妇发病率和死亡率增加相关.必须使用标准化的统一审计系统重新分析CS趋势并遏制不断上升的威胁。本研究旨在在北阿坎德邦的一家教学机构中使用改良的罗布森十组分类系统（RTGCS）来分析和评估CS的趋势。
■这项从2022年10月到2023年3月的横断面研究包括260名接受择期或急诊CS的妇女。孕产妇人口统计数据，产科,劳动，并记录胎儿结局。使用改良的RTGCS分析CS的适应症。
■我院研究期间的总CS率为31.4%。CS的主要贡献者是第2组(21.5%)，第10组（21.5%），和第5组(20.7%)，而第6组和第8组贡献了10%和7.6%，分别。第9组在研究人群中的份额最少(1%)。进行CS的两个主要适应症是先前的下部分剖宫产（LSCS）和胎儿窘迫，占24.6%和19.2%，分别。16％的病例进行了臀位表现的CS。
■改进的RTGCS是审计CS的一种简单有效的方法，防止不必要的程序，改善产妇护理。它的实施对于解决CS患病率增加和确保更好的母婴结局至关重要。
■这项从2022年10月到2023年3月的横断面研究包括260名接受择期或急诊CS的妇女。孕产妇人口统计数据，产科,劳动，并记录胎儿结局。使用改良的RTGCS分析CS的适应症。
■我院研究期间的总CS率为31.4%。CS的主要贡献者是第2组(21.5%)，第10组（21.5%），和第5组(20.7%)，而第6组和第8组贡献了10%和7.6%，分别。第9组在研究人群中的份额最少(1%)。进行CS的两个主要适应症是先前的下部分剖宫产（LSCS）和胎儿窘迫，占24.6%和19.2%，分别。16％的病例进行了臀位表现的CS。
■改进的RTGCS是审计CS的一种简单有效的方法，防止不必要的程序，改善产妇护理。它的实施对于解决CS患病率增加和确保更好的母婴结局至关重要。
