Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in Assam
Objectives: To evaluate the indications and feto-maternal outcomes of Robson’s group 1cases undergoing caesarean section. Materials and methods: A time bound, prospective and observational study conducted from 1stJuly 2021 to 30th June 2022 at Gauhati Medical College and Hospital. All nulliparous...
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Barpeta Obstetrics and Gynaecological Society
2024-05-01
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| Series: | New Indian Journal of OBGYN |
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| Online Access: | https://journal.barpetaogs.co.in/pdf/10417.pdf |
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| author | Panchanan Das Tanma Das Saikia Kirtika Mittal |
| author_facet | Panchanan Das Tanma Das Saikia Kirtika Mittal |
| author_sort | Panchanan Das |
| collection | DOAJ |
| description | Objectives: To evaluate the indications and feto-maternal outcomes of Robson’s group 1cases undergoing caesarean
section. Materials and methods: A time bound, prospective and observational study conducted from 1stJuly 2021 to
30th June 2022 at Gauhati Medical College and Hospital. All nulliparous women, singleton pregnancy, cephalic
presentation, gestational age of more than or equal to 37 weeks with spontaneous onset of labour (Robson’s group1)
undergoing caesarean section were recruited in the study. Results: During this period, there were 15,859 deliveries,
among them 7,024 were born by caesarean section out of which 1,636 belonged to Robson’s group 1. The most
common indication of caesarean section was meconium stained liquor (24.7%) and the least common was precious
pregnancy (2.1%). In intra-operative maternal complications, most common was atonic postpartum haemorrhage
(10.3%), the least common being fetal scalp injury (0.5%). In immediate maternal complications, most common was
spinal headache (12.9%) and the least common was atelectasis and thromboembolic event (1.5% each). In early
maternal complication, most common was surgical site infection (11.3%) and the least common was lower respiratory
tract infection (4.1%). Regarding fetal complications, 19.1% had hyperbilirubinemia and still births were
2.6%.Conclusion: Patients who are in spontaneous labour should undergo caesarean section only for absolute
indications for better recovery of the mother and fetus. It is the need of the hour to intervene and decrease the
caesarean section rate especially in Robson’s group 1 which will lead to reduction in primary and further subsequent
caesarean section rates. |
| format | Article |
| id | doaj-art-87de07b54b9d4a169a37cadd2bfa69dd |
| institution | DOAJ |
| issn | 2454-2334 2454-2342 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj-art-87de07b54b9d4a169a37cadd2bfa69dd2025-08-20T03:08:28ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422024-05-0110241742210.21276/obgyn.2024.10.2.32Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in AssamPanchanan Das0Tanma Das Saikia1Kirtika Mittal2Professor, Department of Obstetrics and Gynaecology, Gauhati Medical College and HospitalAssociate Professor, Department of Obstetrics and Gynaecology, Gauhati Medical College and HospitalPostgraduate Trainee, Department of Obstetrics and Gynaecology, Gauhati Medical College and Hospital, Guwahati, Assam, IndiaObjectives: To evaluate the indications and feto-maternal outcomes of Robson’s group 1cases undergoing caesarean section. Materials and methods: A time bound, prospective and observational study conducted from 1stJuly 2021 to 30th June 2022 at Gauhati Medical College and Hospital. All nulliparous women, singleton pregnancy, cephalic presentation, gestational age of more than or equal to 37 weeks with spontaneous onset of labour (Robson’s group1) undergoing caesarean section were recruited in the study. Results: During this period, there were 15,859 deliveries, among them 7,024 were born by caesarean section out of which 1,636 belonged to Robson’s group 1. The most common indication of caesarean section was meconium stained liquor (24.7%) and the least common was precious pregnancy (2.1%). In intra-operative maternal complications, most common was atonic postpartum haemorrhage (10.3%), the least common being fetal scalp injury (0.5%). In immediate maternal complications, most common was spinal headache (12.9%) and the least common was atelectasis and thromboembolic event (1.5% each). In early maternal complication, most common was surgical site infection (11.3%) and the least common was lower respiratory tract infection (4.1%). Regarding fetal complications, 19.1% had hyperbilirubinemia and still births were 2.6%.Conclusion: Patients who are in spontaneous labour should undergo caesarean section only for absolute indications for better recovery of the mother and fetus. It is the need of the hour to intervene and decrease the caesarean section rate especially in Robson’s group 1 which will lead to reduction in primary and further subsequent caesarean section rates.https://journal.barpetaogs.co.in/pdf/10417.pdfcaesarean sectionindicationsfeto-maternal outcome |
| spellingShingle | Panchanan Das Tanma Das Saikia Kirtika Mittal Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in Assam New Indian Journal of OBGYN caesarean section indications feto-maternal outcome |
| title | Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in Assam |
| title_full | Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in Assam |
| title_fullStr | Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in Assam |
| title_full_unstemmed | Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in Assam |
| title_short | Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in Assam |
| title_sort | indications and feto maternal outcome of cases under robson s group 1 caesarean section in a tertiary health care centre in assam |
| topic | caesarean section indications feto-maternal outcome |
| url | https://journal.barpetaogs.co.in/pdf/10417.pdf |
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