A Retrospective Study of Caesarean Section Rates Using Robson's Ten-Group Classification System at a Tertiary Care Center

Background: The amount of CS being performed has been rising worldwide from the recommended optimum amount of 10-15% by the WHO.

Methods: Retrospective observational study was conducted at SVS Medical College and hospital, Mahabubnagar. All deliveries (n=830) over 3 months (September-November 2025) were classified using Robson's classification system. Information presented was parity, gestational age, onset of labor, presentation, and history of cesarean section.

Results: Overall CS rate was 67.96% (564/830). 31.3% of all CS cases were contributed by Group 5 (Previous CS). Group 2 (nulliparous, induced labour) added 18.1%, while Group 1 (nulliparous, spontaneous labour) added 18.1%. These three groups combined had 73.5% of all cesareans. The most common indications were: previous LSCS (28.5%), fetal distress (23%) and non-progression of labor (11.5%).

Conclusion: The load of CS is predominantly carried by women with prior CS as well as nulliparous women. To minimize unnecessary cesarean sections, targeted interventions such as promoting safe VBAC, optimizing induction protocols, and better management of the labor process are crucial.