Robson classification: Difference between revisions

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The '''Robson classification''', also known as the '''10-groups classification''' or '''ten groups classification system''' ('''TGCS'''), is a system for classifying [[pregnant]] women who undergo [[childbirth]]. It was developed to allow more accurate comparison of [[caesarean section]] rates between different settings, whether they be individual hospitals or entire regions or countries. Endorsed by the [[World Health OrganisationOrganization]] in 2015, it differs from other classification systems in that it accounts for all women who undergo delivery, and not just those who proceed to cesarean section.<ref name="pmid26278843">{{cite journal| author=World Health Organization Human Reproduction Programme, 10 April 2015| title=WHO Statement on caesarean section rates. | journal=Reprod Health Matters | year= 2015 | volume= 23 | issue= 45 | pages= 149-50149–50 | pmid=26278843 | doi=10.1016/j.rhm.2015.07.007 | pmcs2cid=40829330 | urlhdl=https:11343//www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom249912 | hdl-access=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26278843 free }} </ref>

The ten mutually-exclusive groups were first described by the [[obstetrician]] Michael Robson in 2001, and are defined based on the category of the pregnancy, the woman's previous obstetric record, the course of the labour and delivery, and the [[Gestational age (obstetrics)|gestational age]] at delivery.<ref name="robson2001">{{cite journal| author=Robson, M| title=Classification of caesarean sections | journal=Fetal and Maternal Medicine Review | year= 2001 | volume= 12 | issue=1 | pages= 23-39 | pmid=23–39 | doi=10.1017/S0965539501000122 | pmc= | url=https://www.cambridge.org/core/journals/fetal-and-maternal-medicine-review/article/classification-of-caesarean-sections/1489F66B41725CF7719525EC11655D4C | url-access=subscription }} </ref>

#[[Nulliparous]], single [[cephalic presentation|cephalic]] pregnancy, at least 37 weeks' gestation, spontaneous labour

#Nulliparous, single cephalic pregnancy, at least 37 weeks' gestation, with either [[labor induction|induced labour]] or a cesarean section prior to the onset of spontaneous labour

#[[Multiparous]], no previous uterinecaesarean scarsection, single cephalic pregnancy, at least 37 weeks' gestation, spontaneous labour

#Multiparous, no previous uterinecaesarean scarsection, single cephalic pregnancy, at least 37 weeks' gestation, with either induced labour or a cesarean section prior to the onset of spontaneous labour

#Multiparous,Previous atcaesarean least one previous uterine scarsection, single cephalic pregnancy, at least 37 weeks' gestation

#Nulliparous, single [[breech birth|breech]] pregnancy

#Multiparous, single breech pregnancy

#[[Multiple pregnancy]]

#Single pregnancy with transverse or oblique [[presentation (obstetrics)|lie]]

#Single cephalic pregnancy, 36 weeks' gestation or less

The classification is increasingly used to monitor and compare rates of caesarean section in many countries, and some further subdivisions of the ten groups have been proposed.<ref name="pmid24892928">{{cite journal| author=Betrán AP, Vindevoghel N, Souza JP, Gülmezoglu AM, Torloni MR| title=A systematic review of the Robson classification for caesarean section: what works, doesn't work and how to improve it. | journal=PLoSPLOS OneONE | year= 2014 | volume= 9 | issue= 6 | pages= e97769 | pmid=24892928 | doi=10.1371/journal.pone.0097769 | pmc=4043665 | urlbibcode=https://www2014PLoSO.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom997769B | doi-access=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24892928 free }} </ref>

==References==