Araştırma Makalesi

Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data

Cilt: 65 Sayı: 3 3 Eylül 2026
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Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data

Öz

Aim: This study aimed to evaluate the distribution of deliveries over a five-year period in a secondary-level obstetric unit according to the Robson TGCS and to determine the contribution of each group to the overall cesarean rate. Findings were also compared with national data to identify potential targets for reducing cesarean rates. Materials and Methods: This retrospective cohort included women aged ≥ 18 years who delivered between January 1, 2020, and December 31, 2024, in a secondary-level center. Pregnancies with a gestational age ≥24 weeks or birth weight ≥500 g were included, and cases with missing data were excluded. All deliveries were classified according to the Robson TGCS. For each group, the number of deliveries, cesarean sections, group-specific cesarean rates, and contributions to the overall cesarean rate were calculated. Results: A total of 7,630 deliveries were analyzed, with a cesarean rate of 33.3%. Robson Group 3 was the largest group (47.6%), while Group 5 accounted for 67.4% of all cesareans. Cesarean rates in Group 1 and 3 were 11.3% and 6.4%, respectively, both lower than national data. In contrast, the rate in Group 2 was high (79.9%). The primary cesarean rate was 12.0%. The overall cesarean rate was significantly lower than the national data (p<0.001). Conclusions: Lower cesarean rates were mainly driven by low-risk groups, particularly Robson Groups 1 and 3. Targeted strategies focusing on these groups may be more effective. Incorporating data from secondary care settings may better reflect real-world practice and support more rational evidence-based evaluation of cesarean rates.

Anahtar Kelimeler

Destekleyen Kurum

None

Etik Beyan

This study was approved by the Non-Interventional Research Ethics Committee of Ege University Faculty of Medicine (Approval No: 26-3.1T/26, Date: 19.03.2026). All procedures were conducted in accordance with the ethical standards of the institutional and/or national research committee, as well as the 1964 Helsinki Declaration and its subsequent amendments.

Kaynakça

  1. 1. Betran AP, Ye J, Moller AB, Souza JP, Zhang J. Trends and projections of caesarean section rates: global and regional estimates. BMJ Glob Health. 2021;6(6):e005671. doi:10.1136/bmjgh-2021-005671
  2. 2. Molina G, Weiser TG, Lipsitz SR, et al. Relationship Between Cesarean Delivery Rate and Maternal and Neonatal Mortality. JAMA. 2015;314(21):2263. doi:10.1001/jama.2015.15553
  3. 3. Health at a Glance 2023. OECD Publishing; 2023. doi:10.1787/7a7afb35-en
  4. 4. Souza J, Gülmezoglu A, Lumbiganon P, et al. Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes: the 2004-2008 WHO Global Survey on Maternal and Perinatal Health. BMC Med. 2010;8(1):71. doi:10.1186/1741-7015-8-71
  5. 5. Harrison MS, Goldenberg RL. Making cesarean delivery SAFE in low- and middle-income countries. Semin Perinatol. 2019;43(5):260-266. doi:10.1053/j.semperi.2019.03.015
  6. 6. Gregory K, Jackson S, Korst L, Fridman M. Cesarean versus Vaginal Delivery: Whose Risks? Whose Benefits? Am J Perinatol. 2012;29(01):07-18. doi:10.1055/s-0031-1285829
  7. 7. Robson M, Murphy M, Byrne F. Quality assurance: The 10‐Group Classification System (Robson classification), induction of labor, and cesarean delivery. International Journal of Gynecology & Obstetrics. 2015;131(S1). doi:10.1016/j.ijgo.2015.04.026
  8. 8. Birinci Ş, Parpucu ÜM. When a caesarean section is necessary: Analysis of cesarean sections performed in the Republic of Turkey in 2022 in accordance with the World Health Organization Multi-Country Research Guidelines. Journal of Turkish Society of Obstetric and Gynecology. 2023;20(3):184-190. doi:10.4274/tjod.galenos.2023.35919

Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri (Diğer)

Bölüm

Araştırma Makalesi

Yazarlar

Yayımlanma Tarihi

3 Eylül 2026

Gönderilme Tarihi

9 Nisan 2026

Kabul Tarihi

12 Mayıs 2026

Yayımlandığı Sayı

Yıl 2026 Cilt: 65 Sayı: 3

DOI

https://doi.org/10.19161/etd.1926634

IZ

https://izlik.org/JA59LU88MF

Kaynak Göster

RIS / Bibtex
APA
Özmen, S., Atay, A. O., Balcı, M. F., Nahya Özdoğar, Ö., & Atay, F. (2026). Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data. Ege Tıp Dergisi, 65(3), 467-476. https://doi.org/10.19161/etd.1926634
AMA
1.Özmen S, Atay AO, Balcı MF, Nahya Özdoğar Ö, Atay F. Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data. ETD. 2026;65(3):467-476. doi:10.19161/etd.1926634
Chicago
Özmen, Samican, Arif Onur Atay, Mücahit Furkan Balcı, Özgen Nahya Özdoğar, ve Feride Atay. 2026. “Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data”. Ege Tıp Dergisi 65 (3): 467-76. https://doi.org/10.19161/etd.1926634.
EndNote
Özmen S, Atay AO, Balcı MF, Nahya Özdoğar Ö, Atay F (01 Eylül 2026) Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data. Ege Tıp Dergisi 65 3 467–476.
IEEE
[1]S. Özmen, A. O. Atay, M. F. Balcı, Ö. Nahya Özdoğar, ve F. Atay, “Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data”, ETD, c. 65, sy 3, ss. 467–476, Eyl. 2026, doi: 10.19161/etd.1926634.
ISNAD
Özmen, Samican - Atay, Arif Onur - Balcı, Mücahit Furkan - Nahya Özdoğar, Özgen - Atay, Feride. “Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data”. Ege Tıp Dergisi 65/3 (01 Eylül 2026): 467-476. https://doi.org/10.19161/etd.1926634.
JAMA
1.Özmen S, Atay AO, Balcı MF, Nahya Özdoğar Ö, Atay F. Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data. ETD. 2026;65:467–476.
MLA
Özmen, Samican, vd. “Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data”. Ege Tıp Dergisi, c. 65, sy 3, Eylül 2026, ss. 467-76, doi:10.19161/etd.1926634.
Vancouver
1.Samican Özmen, Arif Onur Atay, Mücahit Furkan Balcı, Özgen Nahya Özdoğar, Feride Atay. Robson ten-group classification of cesarean sections in a secondary-level obstetric unit: A five-year comparative analysis with national data. ETD. 01 Eylül 2026;65(3):467-76. doi:10.19161/etd.1926634

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