ArticleIsrael journal of health policy research2025
Implementation of the Robson classification for caesarean sections in Israel: a 10-year cross-sectional study.
Article in Israel journal of health policy research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07777939 (Continuous 24-Hour Transcutaneous Electrical Nerve Stimulation for Post-Cesarean Pain Management), which is not on this map. Cited by 1 paper.
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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.
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.
Continuous 24-Hour Transcutaneous Electrical Nerve Stimulation for Post-Cesarean Pain Management: A Randomized Controlled Trial
Who cites it
1 citing paper in PubMed.
- Impact of beta-lactam allergy labels on antibiotic prophylaxis and surgical site infections after cesarean section; a retrospective study.Antimicrobial resistance and infection control · 2026Article
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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent decades, caesarean section (CS) rates have dramatically increased; the reasons for this trend are multifactorial and not fully understood. This continuing trend has raised public health concerns regarding higher maternal and perinatal risks, high costs, healthcare efficiency, and inequality of services. We aimed to characterize and evaluate Israel's CS rate by applying the Robson classification system.
methodsThis was a national retrospective cross-sectional study. Data from 1,061,786 live births were collected from electronic medical records of women admitted for delivery across all Israeli hospitals between 2014 and 2023. The Robson classification system (also known as the Robson ten group classification system; RTGCS), has been used to monitor, assess, and compare CS rates. Data analysis followed WHO's RTGCS manual guidelines. Each birth was classified into one of the Robson groups to assess group size, the CS rate within each group, and the contribution to the overall CS rate.
resultsWe found an increasing trend in CS rates, with 19.0% marking the highest rate recorded over the last decade. Group 3 + 4 (multiparous, singleton, cephalic, term pregnancy without previous CS) and 1 (nulliparous, singleton, cephalic, term pregnancy in spontaneous labor) were the most represented (56.1% and 20.7%, respectively). The major contributors to CS included Groups 1, 3 + 4, 5 (multiparous, singleton, cephalic, term pregnancy with a previous CS), 8 (all multiple pregnancies), and 10 (singleton, cephalic, pre-term pregnancy).
conclusionsUsing a population-based dataset that spanned ten years, this study identified subgroups in need of targeted interventions and offered insight into CS rate dynamics. The study underscores the RTGCS's potential to optimize maternity outcomes, shape policy, and inform healthcare practices, making a meaningful contribution to the field. The findings highlight the importance of integrating RTGCS into routine data collection and improving obstetric data quality.
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