ArticleBMC pregnancy and childbirth2020
Analysis of cesarean section rates using Robson ten group classification system in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines 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
- Global Preferences and Determinant Variables of Caesarean Delivery Among Pregnant Women:Sultan Qaboos University medical journal · 2025Pooled it
- Robson ten-group classification-based analysis of caesarean sections in Türkiye: a large-scale cross-sectional study.BMC pregnancy and childbirth · 2026Observational
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- Effect of an integrated intervention on the availability and completeness of Robson ten group classification system-related data in district hospitals in Bangladesh.Journal of global health · 2026Article
- Caesarean section rates and indications: a cross-sectional study from a tertiary care centre in Türkiye.BMC pregnancy and childbirth · 2025Observational
- The Contribution of AIDA (Artificial Intelligence Dystocia Algorithm) to Cesarean Section Within Robson Classification Group.Journal of imaging · 2025Article
- Developing and validating a risk prediction model for caesarean delivery in Northwest Amhara comprehensive specialized hospitals.BMC pregnancy and childbirth · 2025Article
- Mandatory second opinion to reduce caesarean section rate among low-risk pregnant women at a private tertiary hospital, a pre and post intervention study: an analysis using WHO Robson classification.BMC pregnancy and childbirth · 2025Article
- 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
- Prevalence of successful vaginal birth after caesarean section and its associated factors among women delivered in the university of Gondar comprehensive specialized referral hospital, Northwest Ethiopia.Contraception and reproductive medicine · 2025Article
- 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
- Surge in C-section deliveries during the COVID-19 pandemic: insights from a cross-sectional study in Gujarat, India.BMJ public health · 2025Article
- Preventing the preventable: Assessing the burden of incessant caesarean deliveries in select Indian states using NFHS-5.PloS one · 2025Article
- Analysis and trends of caesarean sections using Robson's classification over 7-year period at a rural teaching hospital.Journal of family medicine and primary care · 2024Article
- Caesarean section rates in a tertiary teaching hospital in northern Uganda: a retrospective analysis using the robson ten group classification system.BMC pregnancy and childbirth · 2024Article
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7 authors.
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Abstract
backgroundCesarean section (CS) is an important indicator of access to, and quality of maternal health services. The World Health Organization recommends the Robson ten group classification system as a global standard for assessing, monitoring and comparing CS rates at all levels. This study aimed to assess the rate of CS and perform an analysis based on Robson classification system.
methodsA facility-based cross-sectional study was conducted at a tertiary hospital in Addis Ababa, Ethiopia. Data were collected from medical charts of all women who delivered from January-June 2018. The overall CS rate was calculated then women were categorized into one of the ten Robson groups. Relative size of each group, contribution of each group to the overall CS rate, and CS rate within each group were calculated.
resultsA total of 4,200 deliveries were analyzed. Of these 1,459 (34.7%) were CS. The largest contributors to the overall CS rate were Group 10 (19.1%), Group 2 (18.3%), Group 5 (17.1%), and Group 4 (15.8%). There was also a high rate of pre-labor CS in Group 2, Group 4, and Group 10.
conclusionThrough implementation of the Robson ten group classification system, we identified the contribution of each group to the overall CS rate as well as the CS rate within each group. Group 10 was the leading contributor to the overall CS rate. This study also revealed a high rate of CS among low-risk groups. These target groups require more in-depth analysis to identify possible modifiable factors and to apply specific interventions to reduce the CS rate. Evaluation of existing management protocols and further studies into indications of CS and outcomes are needed to design tailored strategies and improve outcomes.
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