TITLE:
The Rate of Caesarean Sections in Burkina Faso’s Regional and University Hospitals According to the Classification System of Robson’s Ten Groups
AUTHORS:
Adama Ouattara, Sibraogo Kiemtoré, Issa Ouédraogo, Yobi Alexis Sawadogo, Tieba Millogo, Mady Bikienga, Seni Kouanda, Charlemagne Marie Ragnang-Newendé Ouédraogo
KEYWORDS:
Caesarean Section, Robson’s Group, Burkina Faso
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.2,
February
26,
2021
ABSTRACT: Background: Quality
assurance in labor and delivery is needed. The method must be simple and
consistent, and be of universal value. The 10-Group Classification System is a
simple method providing a common starting point for further detailed analysis
within which all perinatal events and outcomes can be measured and compared. Objective: The purpose of this study was to analyze cesarean section (CS) rates using the
classification system of Robson’s ten groups and to identify the main
contributors to the overall CS rate in Burkina Faso’s regional and university
hospitals. Materials and Method: A cross-sectional study with
retrospective collection was carried out. All women who gave birth between July
1, 2017 and June 30, 2018, in the Regional Hospital Centres (RHC) and University
Hospital Centres (UHC) of Burkina Faso were classified according to the Robson
ten-group method. The overall CS rates and in each Robson group were
calculated, as well as the contribution of each group to the overall CS rate. Results: The CS rate was 26.5% (8543 out of 32,240 deliveries) during the study period.
nulliparous women with single term pregnancy in cephalic presentation during
spontaneous labour (group 1), multiparous women with single pregnancy in
cephalic presentation, gestational age ≥37SA, spontaneous labour (group 3) and
multiparous women with previous CS (group 5) were the main contributors (67.7%)
to the overall CS rate. In addition, we observed a variation in CS rates
between different hospitals, especially among women with full-term pregnancies
in cephalic presentation without previous CS (groups 1 to 4), showing large
differences in emergency obstetric and neonatal care across the country. Conclusions: Women in groups 1, 3 and 5 were the most important contributors to the overall
CS rate in Burkina Faso. It appears that efforts to reduce the overall rate of
CS should focus on vaginal delivery on the scarred uterus, reduction of CS
rates in nulliparous women with full-term pregnancy in cephalic presentation
(groups 1) and proper monitoring of multiparous women with full-term pregnancy in
spontaneous labour (group 3).