Indication of cesarean section in primigravida according to Robson classification

Background A lot of primigravida go to unneeded caesarean section. The authors want to highlight its indications in primigravidae according to Robson's classification. Methods This prospective observational study was carried out on 518 patients in 2019 and 366 patients in 2020 who were nulliparous, single foetus, more than or equal 37 weeks, passed into spontaneous labour and received induction of labour after their admission to Assiut Woman's Health University Hospital, Assiut, Egypt. Results Residence in rural areas, education and placenta previa were significantly higher in 2019 compared with 2020 while residence in urban areas and intrauterine growth restriction were significantly lower in 2019 compared with 2020. Failure of progress in delivery in Robson group 1 was significantly lower in 2019 than in 2020. Intrauterine growth restriction in Robson group 2 was significantly lower in 2019 than in 2020. Conclusions The authors can use this classification to analyze the caesarean section rate in low resources hospitals.