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Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain

Author

Listed:
  • Rafael Vila-Candel

    (Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, FISABIO. Crta. Corbera km 1, 46600 Valencia, Spain
    Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, Jaume Roig, s/n, 46010 Valencia, Spain)

  • Anna Martín

    (School of Medicine, Universidad Autónoma de Madrid, Spain. C/Arzobispo Morcillo 4, 28029 Madrid, Spain
    School of Health Sciences Blanquerna, Universitat Ramon Llull, C/Padilla 326, 08025 Barcelona, Spain)

  • Ramón Escuriet

    (School of Health Sciences Blanquerna, Universitat Ramon Llull, C/Padilla 326, 08025 Barcelona, Spain)

  • Enrique Castro-Sánchez

    (NIHR Health Protection Research Unit (HPRU) in Healthcare Associated Infections (HCAI) and Antimicrobial Resistance (AMR) at Imperial College London, Du Cane Road, London W12 0NN, UK)

  • Francisco Javier Soriano-Vidal

    (Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, Jaume Roig, s/n, 46010 Valencia, Spain
    Department of Obstetrics and Gynaecology, Hospital Lluis Alcanyis, FISABIO. Crta Xàtiva, s/n, 46800 Valencia, Spain)

Abstract

Background: The WHO recommends the use of the Robson ten-group classification system (RTGCS) as an effective monitoring and analysis tool to assess the use of caesarean sections (CS). The present study aimed to conduct an analysis of births using the RTGCS in La Ribera University Hospital over nine years and to assess the levels and trends of CS births. Methods: Retrospective study between January 1, 2010, and December 31, 2018. All eligible women were allocated in RTGCS to determine the absolute and relative contribution made by each group to the overall CS rate; linear regression and weighted least squares regression analysis were used to analyze trends over time. The risk of CS of women with induced versus spontaneous onset of labor was calculated with an odds ratio (OR) with a 95% CI. Results: 16,506 women gave birth during the study period, 19% of them by CS. Overall, 20.4% of women were in group 1 (nulliparous, singleton cephalic, term, spontaneous labor), 29.4% in group 2 (nulliparous, singleton cephalic, term, induced labor or caesarean before labor), and 12.8% in group 4 (multiparous, singleton cephalic, term, induced or caesarean delivery before labor) made the most significant contributions to the overall rate of CS; Conclusions: In our study, Robson Groups 1, 2, and 4, were identified as the main contributors to the hospital’s overall CS rate. The RTGCS provides an easy way of collecting information about the CS rate, is a valuable clinical method that allows standardized comparison of data, and time point, and identifies the groups driving changes in CS rates.

Suggested Citation

  • Rafael Vila-Candel & Anna Martín & Ramón Escuriet & Enrique Castro-Sánchez & Francisco Javier Soriano-Vidal, 2020. "Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain," IJERPH, MDPI, vol. 17(5), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1575-:d:326508
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    References listed on IDEAS

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    1. Noelia Rodríguez-Blanco & José Tuells & Rafael Vila-Candel & Andreu Nolasco, 2019. "Adherence and Concordance of Influenza and Pertussis Vaccination Coverage in Pregnant Women in Spain," IJERPH, MDPI, vol. 16(4), pages 1-12, February.
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    Cited by:

    1. Pedro Hidalgo-Lopezosa & Ana María Cubero-Luna & Rubén García-Fernández & Andrea Jiménez-Ruz & María Isabel Maestre-Luna & Cristina Liébana-Presa & María Aurora Rodríguez-Borrego & Pablo Jesús López-S, 2023. "Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019," IJERPH, MDPI, vol. 20(3), pages 1-9, January.
    2. Desirée Mena-Tudela & Susana Iglesias-Casás & Víctor Manuel González-Chordá & Águeda Cervera-Gasch & Laura Andreu-Pejó & María Jesús Valero-Chilleron, 2020. "Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth," IJERPH, MDPI, vol. 18(1), pages 1-13, December.
    3. Anna Martín-Arribas & Rafael Vila-Candel & Rhona O’Connell & Martina Dillon & Inmaculada Vila-Bellido & M. Ángeles Beneyto & Inmaculada De Molina-Fernández & Nerea Rodríguez-Conesa & Cristina González, 2020. "Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a Hospital in Ireland: The MidconBirth Study," IJERPH, MDPI, vol. 17(22), pages 1-15, November.

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