ArticleBMJ open2025
Cross-sectional analysis of caesarean sections according to the Robson 10-group classification system in Somalia.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 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 · 2026Article
- 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
- Caesarean section rates and indications: a cross-sectional study from a tertiary care centre in Türkiye.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 · 2025Article
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3 authors.
Funding
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Abstract
backgroundCaesarean section (CS) is an important indicator of access to and quality of maternal health services. The WHO recommends the Robson 10-group classification system as a global standard for assessing, monitoring and comparing CS rates at all levels. Identification of the Robson groups that contribute the most to the overall CS is important to determine possible modifiable factors in our attempts to reduce the CS rate. This study was designed to analyse CS deliveries performed in a tertiary referral centre in Somalia according to the Robson 10-group classification system.
designThis retrospective study included data on consecutive mothers who had deliveries from 1 January 2022 to 1 July 2023.
methodsData were categorised according to the Robson classification. Each patient's data was coded according to Robson's specifications.
resultsA total of 3030 deliveries were analysed. Of these, 1156 (38.2 %) were CS. Among the five largest Robson groups, the highest absolute contribution to CSs was found in group 5, with 11.4% followed by group 10 with a corresponding contribution of 9.4%. In the next three largest Robson groups (groups 1, 3, 4), the absolute contributions were 3.9%, 3.4% and 3.3%, respectively. The total percentages of CSs among all deliveries (n=3030) and among all CSs (n=1156) in the five largest Robson groups were 31.3% and 82.2%, respectively.
conclusionOur analysis showed that the overall caesarean section rate was 38.2%, and those major contributors were Robson groups 5 and 10.
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