Cesarean section rates in Lithuania using Robson Ten Group Classification System
Abstract
Materials and methods: A prospective cross-sectional study was carried out. All women who delivered between January 1 and December 31, 2012, in Lithuania were classified using the TGCS. The CS rates overall and in each Robson group were calculated, as was the contribution of each group to the overall CS rate.
Results: The CS rate was 26.4% (6697 among 25,373 deliveries) in 2012. Nulliparous women with single cephalic full-term pregnancy in spontaneous labor (Group 1) or who underwent induction of labor or prelabor CS (Group 2) and multiparous women with a previous CS (Group 5) were the greatest contributors (67.7%) to the overall CS rate. In addition, significant variation of CS rates between different institutions was observed, especially in women with single cephalic full-term pregnancy without previous CS (Groups 1–4), showing big differences in obstetric care across country.
Conclusions: Women in Groups 1, 2 and 5 were the largest contributions to the overall CS rate in Lithuania. It seems that efforts to reduce the overall CS rate should be directed on increasing vaginal birth after CS and reducing CS rates in nulliparous women with single cephalic full-term pregnancy (Groups 1 and 2).
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Barčaitė, E.; Kemeklienė, G.; Railaitė, D.R.; Bartusevičius, A.; Maleckienė, L.; Nadišauskienė, R. Cesarean section rates in Lithuania using Robson Ten Group Classification System. Medicina 2015, 51, 280-285. https://doi.org/10.1016/j.medici.2015.09.001
Barčaitė E, Kemeklienė G, Railaitė DR, Bartusevičius A, Maleckienė L, Nadišauskienė R. Cesarean section rates in Lithuania using Robson Ten Group Classification System. Medicina. 2015; 51(5):280-285. https://doi.org/10.1016/j.medici.2015.09.001
Chicago/Turabian StyleBarčaitė, Eglė, Gintarė Kemeklienė, Dalia Regina Railaitė, Arnoldas Bartusevičius, Laima Maleckienė, and Rūta Nadišauskienė. 2015. "Cesarean section rates in Lithuania using Robson Ten Group Classification System" Medicina 51, no. 5: 280-285. https://doi.org/10.1016/j.medici.2015.09.001
APA StyleBarčaitė, E., Kemeklienė, G., Railaitė, D. R., Bartusevičius, A., Maleckienė, L., & Nadišauskienė, R. (2015). Cesarean section rates in Lithuania using Robson Ten Group Classification System. Medicina, 51(5), 280-285. https://doi.org/10.1016/j.medici.2015.09.001