Subject: cesarean section
Subject: groups
Subject: classification
Year: 2021
Type: Article
Title: ROBSON CLASSIFICATION OF CESAREAN SECTION IN NORTH MACEDONIA - CURRENT TRENDS
Author: Kjaev, Ivo
Author: Daneva Markova, Ana
Author: Asani, Pajtim
Author: Jovanovska, Viktorija
Author: Dalipi, Adelina
Author: Mladenovska, Martina
Author: Kadriu, Romir
Author: Aleksioska Papestiev, Irena
Author: Karadjova, Dafina
Author: Nikoloska, Katerina
Author: Asani, Durim
Author: Spasova, Rosa
Author: Milkovski, Daniel
Author: Kocoski, Goran
Abstract: Abstract Introduction. Over the last few decades, the global cesarean section rate has significantly increased and reached an unprecedented level. The World Health Organization (WHO) has advised that cesarean section (CS) rates should not rise above 15%. Several classify¬cation systems have been proposed to tackle the increased cesarean section epidemic. Most of the countries have adopted and started using the Robson (10 groups) classification as the best and the one that is the easiest internationally applicable CS classification. Aim. To present the Robson classification as a way to start better classification of cesarean section and hence to reduce the number of unnecessary cesarean section deliveries. Methods: This study was realized at the University Clinic for Gynecology and Obstetrics in Skopje, North Macedonia. It is a retrospective study where two years were compared. Results. The rate of cesarean sections for 2017 was 38.5% and for 2019 42.6%. Categorization of deliveries according to Robson criteria showed a different rate of cesarean section for each subgroup. Discussion. The implementation of the Robson classi-fication in most countries has shown a reduction in the number of cesarean deliveries and thus a reduction in overall maternal and neonatal morbidity and mortality. The analysis has shown that group 5 had the largest number of cesarean section deliveries in both years, 2017 and 2019; these were patients with previous cesarean sections. They were followed by group 1 and 2, or pri¬mi¬para with spontaneous onset and induced delivery. Conclusion. The goal of Robson clasification is to identify the target groups that contribute most in the percentage of cesarean sections and to act on these tar-get groups through appropriate education and training.
Publisher: Македонско лекарско друштво = Macedonian medical association
Relation: Македонски Медицински Преглед = Macedonian Medical Review
Identifier: oai:repository.ukim.mk:20.500.12188/17184
Identifier: 0025-1097
Identifier: http://hdl.handle.net/20.500.12188/17184
