A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye

Abstract Background Globally, including in Turkiye, increasing caesarean section (CS) rates are a crucial public health concern. The Robson 10-group classification system, which is based on obstetric features, is the global standard for monitoring, evaluating, and comparing CS rates in various healt...

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Main Authors: Gazi Guner, Ali Selçuk Yeniocak
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-025-07815-6
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author Gazi Guner
Ali Selçuk Yeniocak
author_facet Gazi Guner
Ali Selçuk Yeniocak
author_sort Gazi Guner
collection DOAJ
description Abstract Background Globally, including in Turkiye, increasing caesarean section (CS) rates are a crucial public health concern. The Robson 10-group classification system, which is based on obstetric features, is the global standard for monitoring, evaluating, and comparing CS rates in various healthcare settings. Documenting CS rates in tertiary referral centre using the Robson 10-group classification system was the goal of this study. Methods This retrospective study was conducted on women with deliveries over four years, from June 1, 2020, to October 1, 2024, and categorised according to the Robson 10-group classification system. For pairwise comparisons, numerical and nominal variables were analysed with independent t-test and Pearson’s chi-squared test, respectively. A p-value of less than 0,05 was accepted as statistically significant. All variables were expressed with 95% confidence intervals (CI). Results A total of 63.809 deliveries were eligible for analysis. The overall CS rate was 54,2%, with variations across different years. The rates ranged from 42,2% in 2020 to 59,9% in 2024. Turkish cases showed a higher rate of CS at 56,2%, compared to 49,6% for refugees. Group 5 was the largest contributor among these groups in terms of (23,9%) CSs, followed by corresponding contributions, Group 10 with 7,7%, and Group 2 with 6,0%. Conclusions Our findings suggest that the overall caesarean section rate was 54,2%, with Group 5 being the primary contributor, followed by Groups 10, 2, and 1.
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spelling doaj-art-b628f1568bfc493daea78fe020bc2be72025-08-20T04:01:47ZengBMCBMC Pregnancy and Childbirth1471-23932025-07-0125111010.1186/s12884-025-07815-6A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in TurkiyeGazi Guner0Ali Selçuk Yeniocak1Department of Gynaecologic Oncology, Basaksehir Cam and Sakura City Training and Research HospitalDepartment of Obstetrics and Gynaecology, Basaksehir Cam and Sakura City Training and Research HospitalAbstract Background Globally, including in Turkiye, increasing caesarean section (CS) rates are a crucial public health concern. The Robson 10-group classification system, which is based on obstetric features, is the global standard for monitoring, evaluating, and comparing CS rates in various healthcare settings. Documenting CS rates in tertiary referral centre using the Robson 10-group classification system was the goal of this study. Methods This retrospective study was conducted on women with deliveries over four years, from June 1, 2020, to October 1, 2024, and categorised according to the Robson 10-group classification system. For pairwise comparisons, numerical and nominal variables were analysed with independent t-test and Pearson’s chi-squared test, respectively. A p-value of less than 0,05 was accepted as statistically significant. All variables were expressed with 95% confidence intervals (CI). Results A total of 63.809 deliveries were eligible for analysis. The overall CS rate was 54,2%, with variations across different years. The rates ranged from 42,2% in 2020 to 59,9% in 2024. Turkish cases showed a higher rate of CS at 56,2%, compared to 49,6% for refugees. Group 5 was the largest contributor among these groups in terms of (23,9%) CSs, followed by corresponding contributions, Group 10 with 7,7%, and Group 2 with 6,0%. Conclusions Our findings suggest that the overall caesarean section rate was 54,2%, with Group 5 being the primary contributor, followed by Groups 10, 2, and 1.https://doi.org/10.1186/s12884-025-07815-6Caesarean sectionRobson classificationTurkiye
spellingShingle Gazi Guner
Ali Selçuk Yeniocak
A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye
BMC Pregnancy and Childbirth
Caesarean section
Robson classification
Turkiye
title A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye
title_full A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye
title_fullStr A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye
title_full_unstemmed A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye
title_short A cross-sectional analysis of caesarean sections according to Robson 10-group classification system: experience from a tertiary centre in Turkiye
title_sort cross sectional analysis of caesarean sections according to robson 10 group classification system experience from a tertiary centre in turkiye
topic Caesarean section
Robson classification
Turkiye
url https://doi.org/10.1186/s12884-025-07815-6
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