Our Summary

The Robson Ten Group Classification System is a way to categorize pregnant women based on certain characteristics related to their pregnancy. Each group has a suggested rate for cesarean section (C-section) births, and this system can help monitor and assess the rates of C-sections. This study looked at childbirths in a major Brazilian hospital from 2009 to 2022 using this classification system.

The study found that the rate of C-sections has been increasing over this period, from 46.23% in 2009 to 62.99% in 2022. This increase was seen across all groups, but was particularly notable in groups 1-4, 5, and 10. In particular, the C-section rate in groups 1-4 rose from 34.06% to 38.59%, in group 5 from 67.66% to 83.53%, and in group 10 (premature births) from 51.55% to 60%.

Overall, groups 1-4 made up 57.3% of the cases studied and contributed to 31.6% of the C-section rate. Group 5 made up 18.9% of cases and contributed to 28.5% of the C-section rate.

In conclusion, the study found that groups 1-4 and 5, along with group 10 (premature births), contributed significantly to the increase in C-section rates over the 13-year period.

FAQs

  1. What is the Robson Ten Group Classification System and how does it relate to C-section rates?
  2. How has the rate of cesarean sections changed from 2009 to 2022 according to the study?
  3. Which groups in the Robson Ten Group Classification System had the most significant increase in C-section rates?

Doctor’s Tip

A doctor might tell a patient that while C-sections can be a necessary and life-saving procedure in some cases, it is important to discuss the risks and benefits with their healthcare provider. It is also helpful for patients to be aware of their own risk factors and to stay informed about their options for childbirth. Additionally, maintaining a healthy lifestyle and following medical advice during pregnancy can help reduce the likelihood of needing a C-section.

Suitable For

Groups 1-4 typically include women with previous C-sections, multiple pregnancies, breech presentations, or other medical conditions that may increase the likelihood of complications during vaginal delivery. Group 5 includes women with previous C-sections and other factors that may increase the risk of complications during labor. Group 10 includes women who deliver prematurely, which may necessitate a C-section to ensure the safety of both mother and baby.

Overall, the study suggests that women in these specific groups may be more likely to be recommended for a C-section to minimize the risk of complications during childbirth. However, it is important for healthcare providers to carefully assess each individual case and consider the benefits and risks of a C-section versus a vaginal delivery before making a recommendation.

Timeline

Before a cesarean section, a patient may experience:

  1. Diagnosis of a condition or situation that necessitates a C-section, such as fetal distress, breech presentation, or multiple pregnancies.
  2. Discussion with healthcare providers about the need for a C-section and potential risks and benefits.
  3. Pre-operative preparations, which may include fasting, medication administration, and consent forms.
  4. Anesthesia administration, either spinal or epidural, before the surgery begins.
  5. Surgical procedure, which involves making an incision in the abdomen and uterus to deliver the baby.
  6. Post-operative recovery in the hospital, including pain management, monitoring for complications, and breastfeeding support.
  7. Discharge from the hospital, with instructions for wound care, pain management, and follow-up appointments.

After a cesarean section, a patient may experience:

  1. Physical recovery, including pain at the incision site, limited mobility, and fatigue.
  2. Emotional recovery, as some patients may experience feelings of disappointment, guilt, or trauma related to the birth experience.
  3. Breastfeeding challenges, as the effects of anesthesia and pain medication can impact milk supply and baby’s ability to latch.
  4. Wound healing, with follow-up appointments to monitor incision healing and address any signs of infection.
  5. Resuming normal activities gradually, while avoiding heavy lifting and strenuous exercise for several weeks.
  6. Long-term implications, such as scar tissue and potential risks for future pregnancies and deliveries.

What to Ask Your Doctor

Some questions a patient should ask their doctor about cesarean section include:

  1. What are the potential risks and benefits of having a C-section compared to a vaginal birth?
  2. What are the reasons why a C-section may be recommended for my specific situation?
  3. What is the likelihood of needing a C-section based on my individual risk factors and medical history?
  4. What is the recovery process like after a C-section, and how long does it typically take to fully recover?
  5. Are there any long-term implications or risks associated with having a C-section?
  6. Can I have a birth plan if I end up needing a C-section, and are there any specific preferences I can discuss with my healthcare provider?
  7. Will I have the opportunity to discuss and ask questions about the procedure with the healthcare team before the C-section takes place?
  8. What are the options for pain management during and after the C-section procedure?
  9. How will a C-section impact future pregnancies and childbirths, if at all?
  10. Are there any specific steps I can take to prepare for a potential C-section, such as attending childbirth education classes or discussing concerns with my healthcare provider?

Reference

Authors: Silva MLAM, Guida JPS, Lajos GJ, Costa ML, Luz AG. Journal: Rev Bras Ginecol Obstet. 2025 Jul 15;47:e-rbgo51. doi: 10.61622/rbgo/2025rbgo51. eCollection 2025. PMID: 40673034