Fauzia Afridi, Zubaida Akhtar, Ayesha Afridi, Qudsia Qazi, Jamila M Naib.
Determining the Indications of C-Section Based on WHO Robson Classification-An Experience in a Tertiary Care Hospital in Peshawar.
J Med Sci Jan ;30(2):143-6.

Objective: To determine the frequency of various groups of patients undergoing C- section in a tertiary care hospital in Peshawar, using WHO Ten Group ROBSON Classification of C sectionsMaterial and Methods: A descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynaecol-ogy, Khyber Teaching Hospital Peshawar from January-March 2019 on patients delivered in the facility. The patients were classified into 10 groups based on WHO Robson`s criteria and the C- section rate determined in each group. The data was analyzed in MS excel. Results: Out of the total 1364 deliveries during this period, 330 were by C sections, making the C- section rate 24%. The biggest contributor to the overall C- section rate was Group 5 (38%) followed by Group 2 (15%), Group 4 (12%), and Group 1 (11%).Conclusion: Robson classification is a useful tool to classify and analyze C- section rates. Although the rate of C sections in our setup is not very low, it can be further lowered by devising strategies to curtail sentinel C sections and performing inter-ventions like induction of labor and pre-labor C sections, only if they are evidence-based.

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