Abstract

Global rise in caesarean delivery rates have raised a public health alarm towards immediate and long term adverse perinatal outcomes associated with such deliveries. Robson’s criteria (WHO 2015) help to classify, monitor and identify the key gap areas for improvements and policy amendments towards CS rate reduction. Objectives: To study and analyze caesarean rates using Robson criteria Methods: Cross-sectional, observational, record-based study at rural district health center of M.P. from June2020 to Jan2021. Data analyzed using descriptive statistical methods. Results: A total of 1393 out of 4927 deliveries were conducted by caesarean with overall C.S. rate of 28%. The most common indications being group 5 (34%), group 2 (18%), group 1 (15%) and group 4 (12%). Partograph monitoring done in 1827(37%). Emergency (86%) and day shift (68%) caesareans predominated. Lack of round the clock monitoring, inadequate trained staff, late reporting of women, neglected referrals from periphery and inadequate use of partograph were common reasons for high CS rates. Conclusions: Regular training with capacity building and audits with urgent addressal of health care gaps forms the key strategies towards achievement of desired targets.

Description

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