Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021

Background: The Robson Ten Group Classification System (RTGCS) enables the assessment, monitoring, and comparison of caesarean section rates both within healthcare facilities and between them, and the indications of caesarean sections (CS) performed in a maternity ward. The aims of the present study...

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Autores: Vila-Candel, Rafael, Piquer Martín, Nadia, Perdomo-Ugarte, Nerea, QUESADA, JOSE ANTONIO, Escuriet, Ramon, Martin Arribas, Anna
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Ramon Llull (URL)
Repositorio:DAU Arxiu Digital de la Universitat Ramon Llull
OAI Identifier:oai:dau.url.edu:20.500.14342/5139
Acceso en línea:http://hdl.handle.net/20.500.14342/5139
https://doi.org/10.3390/healthcare11111521
Access Level:acceso abierto
Palabra clave:Robson classificació
Cesària (Operació)
Part
Naixement
Obstetrícia
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spelling Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021Vila-Candel, RafaelPiquer Martín, NadiaPerdomo-Ugarte, NereaQUESADA, JOSE ANTONIOEscuriet, RamonMartin Arribas, AnnaRobson classificacióCesària (Operació)PartNaixementObstetríciaBackground: The Robson Ten Group Classification System (RTGCS) enables the assessment, monitoring, and comparison of caesarean section rates both within healthcare facilities and between them, and the indications of caesarean sections (CS) performed in a maternity ward. The aims of the present study were to conduct an analysis to assess the levels and distribution of birth from a descriptive approach by CS in La Ribera University Hospital (Spain) between 2010–2021 using the Robson classification; to describe the indications for the induction of labour and the causes of caesarean sections performed; and to examine the association between the induction of labour and CS birth. Methods: A retrospective study between 1 January 2010 and 31 December 2021. All eligible women were classified according to the RTGCS to determine the absolute and relative contribution by each group to the overall CS rate. The odds ratio (OR) of the variables of interest was estimated by logistic regression. In an analysis of the subgroups, the level of significance was adjusted using the Bonferroni method. Results: 20,578 women gave birth during the study period, 19% of them by CS. In 33% of births, induction was performed, and the most common cause was the premature rupture of membranes. Group 2 (nulliparous with induced labour/elective CS before labour) accounted for the largest contribution to the overall rate of CS (31.5%) and showed an upward trend from 23.2% to 39.7% in the time series, increasing the CS rate by 6.7%. The leading cause of CS was suspected fetal distress, followed by induction failure. Conclusions: In our study, Robson Group 2 was identified as the main contributor to the hospital’s overall CS rate. Determining the causes of induction and CS in a population sample classified using the RTGCS enables the identification of the groups with the greatest deviation from the optimal rate of CS and the establishment of improvement plans to reduce the overall rate of caesarean sections in the maternity unit.info:eu-repo/semantics/publishedVersionMDPIUniversitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna2025202520232023info:eu-repo/semantics/article12 p.application/pdfhttp://hdl.handle.net/20.500.14342/5139https://doi.org/10.3390/healthcare11111521reponame:DAU Arxiu Digital de la Universitat Ramon Llullinstname:Universitat Ramon Llull (URL)InglésHealthcare, 2023, 11(11), 1521© L'autor/aAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dau.url.edu:20.500.14342/51392026-06-21T06:40:37Z
dc.title.none.fl_str_mv Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021
title Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021
spellingShingle Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021
Vila-Candel, Rafael
Robson classificació
Cesària (Operació)
Part
Naixement
Obstetrícia
title_short Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021
title_full Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021
title_fullStr Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021
title_full_unstemmed Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021
title_sort Indications of induction and caesarean sections performed using the Robson classification in a university hospital in Spain from 2010 to 2021
dc.creator.none.fl_str_mv Vila-Candel, Rafael
Piquer Martín, Nadia
Perdomo-Ugarte, Nerea
QUESADA, JOSE ANTONIO
Escuriet, Ramon
Martin Arribas, Anna
author Vila-Candel, Rafael
author_facet Vila-Candel, Rafael
Piquer Martín, Nadia
Perdomo-Ugarte, Nerea
QUESADA, JOSE ANTONIO
Escuriet, Ramon
Martin Arribas, Anna
author_role author
author2 Piquer Martín, Nadia
Perdomo-Ugarte, Nerea
QUESADA, JOSE ANTONIO
Escuriet, Ramon
Martin Arribas, Anna
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
dc.subject.none.fl_str_mv Robson classificació
Cesària (Operació)
Part
Naixement
Obstetrícia
topic Robson classificació
Cesària (Operació)
Part
Naixement
Obstetrícia
description Background: The Robson Ten Group Classification System (RTGCS) enables the assessment, monitoring, and comparison of caesarean section rates both within healthcare facilities and between them, and the indications of caesarean sections (CS) performed in a maternity ward. The aims of the present study were to conduct an analysis to assess the levels and distribution of birth from a descriptive approach by CS in La Ribera University Hospital (Spain) between 2010–2021 using the Robson classification; to describe the indications for the induction of labour and the causes of caesarean sections performed; and to examine the association between the induction of labour and CS birth. Methods: A retrospective study between 1 January 2010 and 31 December 2021. All eligible women were classified according to the RTGCS to determine the absolute and relative contribution by each group to the overall CS rate. The odds ratio (OR) of the variables of interest was estimated by logistic regression. In an analysis of the subgroups, the level of significance was adjusted using the Bonferroni method. Results: 20,578 women gave birth during the study period, 19% of them by CS. In 33% of births, induction was performed, and the most common cause was the premature rupture of membranes. Group 2 (nulliparous with induced labour/elective CS before labour) accounted for the largest contribution to the overall rate of CS (31.5%) and showed an upward trend from 23.2% to 39.7% in the time series, increasing the CS rate by 6.7%. The leading cause of CS was suspected fetal distress, followed by induction failure. Conclusions: In our study, Robson Group 2 was identified as the main contributor to the hospital’s overall CS rate. Determining the causes of induction and CS in a population sample classified using the RTGCS enables the identification of the groups with the greatest deviation from the optimal rate of CS and the establishment of improvement plans to reduce the overall rate of caesarean sections in the maternity unit.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.14342/5139
https://doi.org/10.3390/healthcare11111521
url http://hdl.handle.net/20.500.14342/5139
https://doi.org/10.3390/healthcare11111521
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Healthcare, 2023, 11(11), 1521
dc.rights.none.fl_str_mv © L'autor/a
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © L'autor/a
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 12 p.
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:DAU Arxiu Digital de la Universitat Ramon Llull
instname:Universitat Ramon Llull (URL)
instname_str Universitat Ramon Llull (URL)
reponame_str DAU Arxiu Digital de la Universitat Ramon Llull
collection DAU Arxiu Digital de la Universitat Ramon Llull
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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