The Rate of Caesarean Sections in Burkina Faso’s Regional and University Hospitals According to the Classification System of Robson’s Ten Groups
| العنوان: | The Rate of Caesarean Sections in Burkina Faso’s Regional and University Hospitals According to the Classification System of Robson’s Ten Groups |
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| المؤلفون: | Seni Kouanda, Tieba Millogo, Adama Ouattara, Charlemagne Marie Ragnang-Newendé Ouédraogo, Mady Bikienga, Sibraogo Kiemtoré, Issa Ouedraogo, Yobi Alexis Sawadogo |
| المصدر: | Open Journal of Obstetrics and Gynecology. 11:210-219 |
| بيانات النشر: | Scientific Research Publishing, Inc., 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Pregnancy, medicine.medical_specialty, business.industry, Term pregnancy, Vaginal delivery, Obstetrics, medicine.medical_treatment, Cephalic presentation, Gestational age, University hospital, medicine.disease, Scarred uterus, medicine, Caesarean section, business |
| الوصف: | Background: Quality assurance in labor and delivery is needed. The method must be simple and consistent, and be of universal value. The 10-Group Classification System is a simple method providing a common starting point for further detailed analysis within which all perinatal events and outcomes can be measured and compared. Objective: The purpose of this study was to analyze cesarean section (CS) rates using the classification system of Robson’s ten groups and to identify the main contributors to the overall CS rate in Burkina Faso’s regional and university hospitals. Materials and Method: A cross-sectional study with retrospective collection was carried out. All women who gave birth between July 1, 2017 and June 30, 2018, in the Regional Hospital Centres (RHC) and University Hospital Centres (UHC) of Burkina Faso were classified according to the Robson ten-group method. The overall CS rates and in each Robson group were calculated, as well as the contribution of each group to the overall CS rate. Results: The CS rate was 26.5% (8543 out of 32,240 deliveries) during the study period. nulliparous women with single term pregnancy in cephalic presentation during spontaneous labour (group 1), multiparous women with single pregnancy in cephalic presentation, gestational age ≥37SA, spontaneous labour (group 3) and multiparous women with previous CS (group 5) were the main contributors (67.7%) to the overall CS rate. In addition, we observed a variation in CS rates between different hospitals, especially among women with full-term pregnancies in cephalic presentation without previous CS (groups 1 to 4), showing large differences in emergency obstetric and neonatal care across the country. Conclusions: Women in groups 1, 3 and 5 were the most important contributors to the overall CS rate in Burkina Faso. It appears that efforts to reduce the overall rate of CS should focus on vaginal delivery on the scarred uterus, reduction of CS rates in nulliparous women with full-term pregnancy in cephalic presentation (groups 1) and proper monitoring of multiparous women with full-term pregnancy in spontaneous labour (group 3). |
| تدمد: | 2160-8806 2160-8792 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::0c44dc5c88bd5e60513f757e22c7ad8e https://doi.org/10.4236/ojog.2021.112021 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........0c44dc5c88bd5e60513f757e22c7ad8e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21608806 21608792 |
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