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首页> 外文期刊>Medical Journal of Shree Birendra Hospital >Analysis of Cesarean Section Using Robson’s 10-Group Classification at a Tertiary Level Hospital in Nepal
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Analysis of Cesarean Section Using Robson’s 10-Group Classification at a Tertiary Level Hospital in Nepal

机译：使用罗布森（Robson）的十组分类分析尼泊尔三级医院剖宫产

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Introduction: Obstetric Services commenced at the teaching institute where this study was conducted from Aug 2012. Hence, a review of the data of C-section in this hospital is needed for standardisation of the obstetric services in terms of the rate of C-section, its various clinical indications and maternal and fetal outcomes. Methods: This is a retrospective study carried out over a period of 5 years from Aug 13, 2012 to Aug 11, 2017. All hospital deliveries conducted during the study period were included in this study and the patients’ details obtained from hospital records. All data obtained was recorded in master charts and analysed using SPSS version 23. The caesarean rate, its indications were calculated and categorised into groups according to Robson’s 10-group classification. ? Results: A total number of 4892 deliveries were conducted over this 5-year study period. C-section was performed in 1104 patients, giving a C-section rate of 22.57%. The most common indications were previous C-section (25.4%), fetal distress (14.3%) and breech presentation (10.3%). Robson’s Group 1 was the highest contributors to the overall CS rate, contributing 28% of all C-sections, followed by Group 5 (26.8%) and Group 3 (15.5%). Conclusions: Nulliparous and multiparous women in term pregnancy in labor and women with previous C-section contribute to more than 70% of overall C-sections at our centre. Hence, close monitoring of these groups of patients, increasing the use of instrumental delivery and practice of vaginal birth after C-section can significantly reduce the C-section rate in our centre. ?.
机译：简介：从2012年8月开始在进行这项研究的教学机构开始进行产科服务。因此，需要就该医院的剖宫产数据进行复习，以使剖宫产率标准化，其各种临床适应症以及母婴结局。方法：这是一项回顾性研究，从2012年8月13日至2017年8月11日，为期5年。在研究期间进行的所有医院分娩均包括在本研究中，并从医院记录中获取患者的详细信息。所有获得的数据都记录在主图中，并使用SPSS 23版进行分析。根据Robson的10组分类标准，对剖腹产率及其指征进行了计算和分类。 ？结果：在这5年的研究期内，共进行了4892例分娩。 1104例患者进行了剖腹产，剖腹率为22.57％。最常见的适应症是先前的剖腹产（25.4％），胎儿窘迫（14.3％）和臀位（10.3％）。罗布森（Robson）的第1组是整体CS率最高的贡献者，占所有剖腹产的28％，其次是第5组（26.8％）和第3组（15.5％）。结论：足月分娩的无核和多胎妇女和先前剖腹产的妇女占我们中心总剖宫产的70％以上。因此，对这些患者进行密切监测，增加使用器械分娩的方法和剖腹产后阴道分娩的做法，可以显着降低我们中心的剖腹产率。 ？

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