Analysis of Cesarean Section Rates in a Public Tertiary Hospital During Teaching and Non-teaching Periods Using the Robson Ten Group Classification System
Introduction: The rising cesarean section (CS) rate is a global concern. One of the hospital characteristics that may explain the variation in CS among hospitals is hospital teaching status. This study aims to assess the rate of CS in a tertiary hospital during the teaching and non-teaching periods...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-08, Vol.15 (8), p.e43838-e43838 |
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| creator | Rezaei Ghamsari, Sepideh Taeidi, Elham Darsareh, Fatemeh Mehrnoush, Vahid |
| description | Introduction: The rising cesarean section (CS) rate is a global concern. One of the hospital characteristics that may explain the variation in CS among hospitals is hospital teaching status. This study aims to assess the rate of CS in a tertiary hospital during the teaching and non-teaching periods and to conduct an analysis using the Robson ten-group classification system.Methods: This study is a retrospective cohort that assessed pregnant mothers who gave birth at a tertiary hospital in Bandar Abbas. The study population was divided into two groups: those who gave birth during the hospital's teaching period (November 1st, 2019 to October 30th, 2020) and those who gave birth after that (November 1st, 2020 to October 30th, 2021). The primary outcome was the rate of CS according to Robson's classification system. The secondary outcome was the contributions of each group of Robson to the overall CS rate. Data were extracted by trained collectors from the "Iranian Maternal and Neonatal Network (IMaN Net)," a valid national system, using electronic patient records.Results: Of the total number of births (8382), 62.9 % occurred during the teaching period and 37.1 % during the non-teaching period. A 7% increase in CS was observed during the teaching period of the hospital compared to the non-teaching period (p |
| doi_str_mv | 10.7759/cureus.43838 |
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One of the hospital characteristics that may explain the variation in CS among hospitals is hospital teaching status. This study aims to assess the rate of CS in a tertiary hospital during the teaching and non-teaching periods and to conduct an analysis using the Robson ten-group classification system.Methods: This study is a retrospective cohort that assessed pregnant mothers who gave birth at a tertiary hospital in Bandar Abbas. The study population was divided into two groups: those who gave birth during the hospital's teaching period (November 1st, 2019 to October 30th, 2020) and those who gave birth after that (November 1st, 2020 to October 30th, 2021). The primary outcome was the rate of CS according to Robson's classification system. The secondary outcome was the contributions of each group of Robson to the overall CS rate. Data were extracted by trained collectors from the "Iranian Maternal and Neonatal Network (IMaN Net)," a valid national system, using electronic patient records.Results: Of the total number of births (8382), 62.9 % occurred during the teaching period and 37.1 % during the non-teaching period. A 7% increase in CS was observed during the teaching period of the hospital compared to the non-teaching period (p<0.01). CS rate in Robson groups 1,2,4,7, and 10 differs significantly between teaching and non-teaching periods. According to the findings, Groups 5, 10, and 2 were the three most significant contributors to overall CS in our hospital during the study period.Conclusion: The efforts to reduce the overall CS rate should be focused on groups 2,5, and 10 of Robson.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.43838</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Births ; Cesarean section ; Classification ; Coronaviruses ; COVID-19 ; Fetuses ; Gestational age ; Health insurance ; Obstetrics ; Obstetrics/Gynecology ; Parity ; Population ; Pregnancy complications ; Reproductive technologies ; Sociodemographics ; Teaching hospitals ; Womens health</subject><ispartof>Curēus (Palo Alto, CA), 2023-08, Vol.15 (8), p.e43838-e43838</ispartof><rights>Copyright © 2023, Rezaei Ghamsari et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Rezaei Ghamsari et al. 2023 Rezaei Ghamsari et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c277t-7a2cc632a3c559e38184585d59e998a266a7efc5ea507b909f2e1f1a829396db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509773/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509773/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Rezaei Ghamsari, Sepideh</creatorcontrib><creatorcontrib>Taeidi, Elham</creatorcontrib><creatorcontrib>Darsareh, Fatemeh</creatorcontrib><creatorcontrib>Mehrnoush, Vahid</creatorcontrib><title>Analysis of Cesarean Section Rates in a Public Tertiary Hospital During Teaching and Non-teaching Periods Using the Robson Ten Group Classification System</title><title>Curēus (Palo Alto, CA)</title><description>Introduction: The rising cesarean section (CS) rate is a global concern. One of the hospital characteristics that may explain the variation in CS among hospitals is hospital teaching status. This study aims to assess the rate of CS in a tertiary hospital during the teaching and non-teaching periods and to conduct an analysis using the Robson ten-group classification system.Methods: This study is a retrospective cohort that assessed pregnant mothers who gave birth at a tertiary hospital in Bandar Abbas. The study population was divided into two groups: those who gave birth during the hospital's teaching period (November 1st, 2019 to October 30th, 2020) and those who gave birth after that (November 1st, 2020 to October 30th, 2021). The primary outcome was the rate of CS according to Robson's classification system. The secondary outcome was the contributions of each group of Robson to the overall CS rate. Data were extracted by trained collectors from the "Iranian Maternal and Neonatal Network (IMaN Net)," a valid national system, using electronic patient records.Results: Of the total number of births (8382), 62.9 % occurred during the teaching period and 37.1 % during the non-teaching period. A 7% increase in CS was observed during the teaching period of the hospital compared to the non-teaching period (p<0.01). CS rate in Robson groups 1,2,4,7, and 10 differs significantly between teaching and non-teaching periods. According to the findings, Groups 5, 10, and 2 were the three most significant contributors to overall CS in our hospital during the study period.Conclusion: The efforts to reduce the overall CS rate should be focused on groups 2,5, and 10 of Robson.</description><subject>Births</subject><subject>Cesarean section</subject><subject>Classification</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Fetuses</subject><subject>Gestational age</subject><subject>Health insurance</subject><subject>Obstetrics</subject><subject>Obstetrics/Gynecology</subject><subject>Parity</subject><subject>Population</subject><subject>Pregnancy complications</subject><subject>Reproductive technologies</subject><subject>Sociodemographics</subject><subject>Teaching hospitals</subject><subject>Womens health</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkcFO3DAQhqOqSCDKjQew1EsPDbWdTWyfKrRtoRICBMvZmjgT1ihrbz1OpX2VPm0TFqq2p_nH8-n3jP6iOBX8TKnafHJjwpHOFpWu9JviSIpGl1roxdu_9GFxQvTEORdcSa74UfHrPMCwI08s9myJBAkhsHt02cfA7iAjMR8YsNuxHbxjK0zZQ9qxy0hbn2FgX8bkw-M0ALeeBYSOXcdQ5teHW0w-dsQeaO7yGtldbGlyX2FgFymOW7YcgMj33sHzt_c7yrh5Vxz0MBCevNTj4uHb19Xysry6ufi-PL8qnVQqlwqkc00loXJ1bbCa76x13U3aGA2yaUBh72qEmqvWcNNLFL0ALU1lmq6tjovPe9_t2G6wcxhygsFuk99Mh9oI3v47CX5tH-NPK3jNjVLV5PDhxSHFHyNSthtPDocBAsaRrNSNFsIspJjQ9_-hT3FMUwYzpXjTTEuqifq4p1yKRAn7P9sIbue07T5t-5x29Ru5x6Dx</recordid><startdate>20230821</startdate><enddate>20230821</enddate><creator>Rezaei Ghamsari, Sepideh</creator><creator>Taeidi, Elham</creator><creator>Darsareh, Fatemeh</creator><creator>Mehrnoush, Vahid</creator><general>Cureus Inc</general><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230821</creationdate><title>Analysis of Cesarean Section Rates in a Public Tertiary Hospital During Teaching and Non-teaching Periods Using the Robson Ten Group Classification System</title><author>Rezaei Ghamsari, Sepideh ; Taeidi, Elham ; Darsareh, Fatemeh ; Mehrnoush, Vahid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c277t-7a2cc632a3c559e38184585d59e998a266a7efc5ea507b909f2e1f1a829396db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Births</topic><topic>Cesarean section</topic><topic>Classification</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Fetuses</topic><topic>Gestational age</topic><topic>Health insurance</topic><topic>Obstetrics</topic><topic>Obstetrics/Gynecology</topic><topic>Parity</topic><topic>Population</topic><topic>Pregnancy complications</topic><topic>Reproductive technologies</topic><topic>Sociodemographics</topic><topic>Teaching hospitals</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rezaei Ghamsari, Sepideh</creatorcontrib><creatorcontrib>Taeidi, Elham</creatorcontrib><creatorcontrib>Darsareh, Fatemeh</creatorcontrib><creatorcontrib>Mehrnoush, Vahid</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rezaei Ghamsari, Sepideh</au><au>Taeidi, Elham</au><au>Darsareh, Fatemeh</au><au>Mehrnoush, Vahid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of Cesarean Section Rates in a Public Tertiary Hospital During Teaching and Non-teaching Periods Using the Robson Ten Group Classification System</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2023-08-21</date><risdate>2023</risdate><volume>15</volume><issue>8</issue><spage>e43838</spage><epage>e43838</epage><pages>e43838-e43838</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Introduction: The rising cesarean section (CS) rate is a global concern. One of the hospital characteristics that may explain the variation in CS among hospitals is hospital teaching status. This study aims to assess the rate of CS in a tertiary hospital during the teaching and non-teaching periods and to conduct an analysis using the Robson ten-group classification system.Methods: This study is a retrospective cohort that assessed pregnant mothers who gave birth at a tertiary hospital in Bandar Abbas. The study population was divided into two groups: those who gave birth during the hospital's teaching period (November 1st, 2019 to October 30th, 2020) and those who gave birth after that (November 1st, 2020 to October 30th, 2021). The primary outcome was the rate of CS according to Robson's classification system. The secondary outcome was the contributions of each group of Robson to the overall CS rate. Data were extracted by trained collectors from the "Iranian Maternal and Neonatal Network (IMaN Net)," a valid national system, using electronic patient records.Results: Of the total number of births (8382), 62.9 % occurred during the teaching period and 37.1 % during the non-teaching period. A 7% increase in CS was observed during the teaching period of the hospital compared to the non-teaching period (p<0.01). CS rate in Robson groups 1,2,4,7, and 10 differs significantly between teaching and non-teaching periods. According to the findings, Groups 5, 10, and 2 were the three most significant contributors to overall CS in our hospital during the study period.Conclusion: The efforts to reduce the overall CS rate should be focused on groups 2,5, and 10 of Robson.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><doi>10.7759/cureus.43838</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Births Cesarean section Classification Coronaviruses COVID-19 Fetuses Gestational age Health insurance Obstetrics Obstetrics/Gynecology Parity Population Pregnancy complications Reproductive technologies Sociodemographics Teaching hospitals Womens health |
| title | Analysis of Cesarean Section Rates in a Public Tertiary Hospital During Teaching and Non-teaching Periods Using the Robson Ten Group Classification System |
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