Analysis of the cesarean section rate in Al Elwiya maternity teaching hospital using the Robson's 10-group classification system.

Objective: To determine the distribution of the cesarean section (CS) rate according to the Robson's 10-group classification system (RTGCS) and identify which groups contribute most to the rising CS rate at the concerned institute.

Methods: A cross-sectional single-center study was conducted between April and September 2021. Data were extracted from patients and entered into a structured template in accordance with RTGCS criteria.

Results: A total of 9200 women were included, with a mean age of 28 ± 6 years. The overall CS rate was 52.8%. Groups 5, 3, and 1 were the largest groups, contributing to 37.4%, 20.5%, and 14% of all births, respectively. Group 5 contributed to 35% of the absolute CS rate, followed by group 10 (5.9%), group 1 (2.6%), and group 2 (1.7%), collectively making up 45.2% of all CSs.

Conclusions: Groups 1, 5, and 10 collectively accounted for the majority of CSs at Al Elwiya Maternity Teaching Hospital, highlighting them as key drivers of the overall CS rate. Targeted analysis of these groups will inform clinical strategies to reduce unnecessary surgical interventions and improve maternal and neonatal care.