Evidence map›Paper›PMID 39618771›Full record

ArticleCureus2024

Investigating Cesarean Section Trends: A Study Using the Modified Robson Classification in a Tertiary Care Setting.

Hiba Arshad, Zahid H Wadani, Zunaira Kamal, Shazia Masheer

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hiba ArshadObstetrics and Gynaecology, Aga Khan University Hospital, Karachi, PAK.
Zahid H WadaniObstetrics and Gynaecology, Aga Khan University Hospital, Karachi, PAK.
Zunaira KamalObstetrics and Gynaecology, Aga Khan University Hospital, Karachi, PAK.
Shazia MasheerObstetrics and Gynaecology, Aga Khan University Hospital, Karachi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe cesarean section (CS) rate is steadily rising in developed and developing nations. While CS is often perceived as a life-saving intervention, it comes with associated dangers for both the present and future pregnancies. The Robson criteria classify CS into 10 groups with further sub-divisions based on the gestational age, various pregnancy categories, prior obstetrical records, and the progress of labor and delivery.

methodsThis retrospective record review was conducted at Aga Khan University Hospital in Karachi, Pakistan. A non-probability consecutive sampling method was employed to enroll all 1198 pregnant women who underwent CS delivery between July 1st and December 31st, 2022.

resultsA total of 2616 deliveries were performed during the study period; among these, 1198 (45%) were delivered by CS. Out of 10 groups of Robson Criteria, Group 5 emerged as the primary contributor to the overall CS rate, making up approximately 34.3% of cases, followed by Group 10, which contributed to 28.5% of cases. Group 2 contributed 16.4% of cases in total, with subgroup 2A constituting 12% of the overall rates, and Group 1 was found to be the fourth contributing category (5.1%), succeeded by Group 6 (4.9%), Group 4 (3.9%), and Group 8 (3.4%).

conclusionThe Modified Robson Criteria was found to be an effective and easy-to-comprehend tool, which assists in monitoring the indications of CS and aids in devising strategies to reduce its rates in clinical practice.

Indexed as

caesarean section rateecvinduction of laborrobson classificationvaginal birth after cesarean (vbac)

Identifiers

PMID39618771
PMCPMC11608452

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.