ArticleBMJ open2017
A method to assess obstetric outcomes using the 10-Group Classification System: a quantitative descriptive study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- The effect of mindfulness-based counseling on the childbirth experience of primiparous women: a randomized controlled clinical trial.BMC pregnancy and childbirth · 2023Trial
- Using linked data to explore medical complications associated with Robson classification of cesarean deliveries in Massachusetts, 2011 to 2018.AJOG global reports · 2025Article
- Reducing caesarean section rates in Robson groups 1 and 3: a quality improvement initiative in a private Brazilian hospital.BMJ open quality · 2025Article
- Observation of a quality improvement initiative to contextually adapt and use Robson classification in real time to collect data around CS delivery and to develop strategies to reduce CS rate.BMJ open quality · 2023Article
- Put your weight behind it-Effect of body mass index on the active second stage of labour: A retrospective cohort study.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- A step towards better audit: The Robson Ten Group classification system for outcomes other than cesarean section.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Association between epidural analgesia and indications for intrapartum caesarean delivery in group 1 of the 10-group classification system at a tertiary maternity hospital, Shanghai, China: a retrospective cohort study.BMC pregnancy and childbirth · 2021Observational
- Midwifery-led care can lower caesarean section rates according to the Robson ten group classification system.European journal of midwifery · 2020Article
- Observational
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7 authors.
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Abstract
objectivesInternationally, the 10-Group Classification System (TGCS) has been used to report caesarean section rates, but analysis of other outcomes is also recommended. We now aim to present the TGCS as a method to assess outcomes of labour and delivery using routine collection of perinatal information.
designThis research is a methodological study to describe the use of the TGCS.
settingStavanger University Hospital (SUH), Norway, National Maternity Hospital Dublin, Ireland and Slovenian National Perinatal Database (SLO), Slovenia.
participants9848 women from SUH, Norway, 9250 women from National Maternity Hospital Dublin, Ireland and 106 167 women, from SLO, Slovenia.
main outcome measuresAll women were classified according to the TGCS within which caesarean section, oxytocin augmentation, epidural analgesia, operative vaginal deliveries, episiotomy, sphincter rupture, postpartum haemorrhage, blood transfusion, maternal age >35 years, body mass index >30, Apgar score, umbilical cord pH, hypoxic-ischaemic encephalopathy, antepartum and perinatal deaths were incorporated.
resultsThere were significant differences in the sizes of the groups of women and the incidences of events and outcomes within the TGCS between the three perinatal databases.
conclusionsThe TGCS is a standardised objective classification system where events and outcomes of labour and delivery can be incorporated. Obstetric core events and outcomes should be agreed and defined to set standards of care. This method provides continuous and available observations from delivery wards, possibly used for further interpretation, questions and international comparisons. The definition of quality may vary in different units and can only be ascertained when all the necessary information is available and considered together.
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