ArticleInternational journal of environmental research and public health2020
Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Primary cesarean section in Sub-Saharan Africa: A systematic review and meta-analysis using the Robson Ten-Group Classification System.PloS one · 2026Pooled it
- Robson ten-group classification-based analysis of caesarean sections in Türkiye: a large-scale cross-sectional study.BMC pregnancy and childbirth · 2026Observational
- Analysis of caesarean section rates according to the Robson classification system and indications for caesarean delivery: experience from a tertiary health centre in Turkey.BMC pregnancy and childbirth · 2026Observational
- A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye.BMC pregnancy and childbirth · 2025Observational
- Evaluation of caesarean rates according to Robson classification using a newly developed smart phone application in a tertiary center in Sri Lanka: a comparative study.BMC pregnancy and childbirth · 2025Article
- Cross-sectional analysis of caesarean sections according to the Robson 10-group classification system in Somalia.BMJ open · 2025Article
- Article
- Obstetric risk profiles and causes of death: Estimating their association with cesarean sections among maternal deaths in Mexico.PloS one · 2024Observational
- Applying the Modified Ten-Group Robson Classification in a Spanish Tertiary Hospital.Journal of clinical medicine · 2023Article
- Perinatal Outcomes at Birth in Women Infected and Non-Infected with SARS-CoV-2: A Retrospective Study.Healthcare (Basel, Switzerland) · 2023Article
- [Classification of caesarean sections by 10 Robson groups in a second level hospital].Revista medica del Instituto Mexicano del Seguro Social · 2023Observational
- Indications of Induction and Caesarean Sections Performed Using the Robson Classification in a University Hospital in Spain from 2010 to 2021.Healthcare (Basel, Switzerland) · 2023Article
- Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016-2019.International journal of environmental research and public health · 2023Observational
- Long-term effects of the nine-item list intervention on obstetric and neonatal outcomes in Robson group 1 - A time series study.Acta obstetricia et gynecologica Scandinavica · 2021Article
- Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth.International journal of environmental research and public health · 2020Article
- Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a Hospital in Ireland: The MidconBirth Study.International journal of environmental research and public health · 2020Article
- Article
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5 authors.
Funding
Abstract
backgroundThe WHO recommends the use of the Robson ten-group classification system (RTGCS) as an effective monitoring and analysis tool to assess the use of caesarean sections (CS). The present study aimed to conduct an analysis of births using the RTGCS in La Ribera University Hospital over nine years and to assess the levels and trends of CS births.
methodsRetrospective study between January 1, 2010, and December 31, 2018. All eligible women were allocated in RTGCS to determine the absolute and relative contribution made by each group to the overall CS rate; linear regression and weighted least squares regression analysis were used to analyze trends over time. The risk of CS of women with induced versus spontaneous onset of labor was calculated with an odds ratio (OR) with a 95% CI.
results16,506 women gave birth during the study period, 19% of them by CS. Overall, 20.4% of women were in group 1 (nulliparous, singleton cephalic, term, spontaneous labor), 29.4% in group 2 (nulliparous, singleton cephalic, term, induced labor or caesarean before labor), and 12.8% in group 4 (multiparous, singleton cephalic, term, induced or caesarean delivery before labor) made the most significant contributions to the overall rate of CS; Conclusions: In our study, Robson Groups 1, 2, and 4, were identified as the main contributors to the hospital's overall CS rate. The RTGCS provides an easy way of collecting information about the CS rate, is a valuable clinical method that allows standardized comparison of data, and time point, and identifies the groups driving changes in CS rates.
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