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Caesarean section rates from Malaysian tertiary hospitals using Robson’s 10-group classification

BACKGROUND: Rising caesarean section rates is a concern worldwide. This study aimed to use Robson’s ten group classification to identify which groups of women were contributing most to the rising caesarean section rates in Malaysian tertiary hospitals and to compare between hospitals, using a common...

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Autores principales: Karalasingam, Shamala Devi, Jeganathan, Ravichandran, Jegasothy, Ravindran, Reidpath, Daniel D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995123/
https://www.ncbi.nlm.nih.gov/pubmed/32005188
http://dx.doi.org/10.1186/s12884-020-2760-2
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author Karalasingam, Shamala Devi
Jeganathan, Ravichandran
Jegasothy, Ravindran
Reidpath, Daniel D.
author_facet Karalasingam, Shamala Devi
Jeganathan, Ravichandran
Jegasothy, Ravindran
Reidpath, Daniel D.
author_sort Karalasingam, Shamala Devi
collection PubMed
description BACKGROUND: Rising caesarean section rates is a concern worldwide. This study aimed to use Robson’s ten group classification to identify which groups of women were contributing most to the rising caesarean section rates in Malaysian tertiary hospitals and to compare between hospitals, using a common standard set of variables. METHODS: A 5-year (2011–2015) cross-sectional study was conducted using data from the Malaysian National Obstetrics Registry (NOR). A total of 608,747 deliveries were recorded from 11 tertiary state hospitals and 1 tertiary hospital from the Federal territory. RESULTS: During the study period, there were 141,257 Caesarean sections (23.2%). Caesarean sections in Group 1 (nulliparous term pregnancy in spontaneous labour) and Group 3 (multiparous term pregnancy in spontaneous labour) had an increasing trend from 2011 to 2015. The group that contributed most to the overall caesarean section rates was Group 5 (multiparous, singleton, cephalic≥37 weeks with previous caesarean section) and the rates remained high during the 5-year study period. Groups 6, 7 and 9 had the highest caesarean section rates but they made the smallest contribution to the overall rates. CONCLUSIONS: Like many countries, the rate of caesarean section has risen over time, and the rise is driven by caesarean section in low-risk groups. There was an important hospital to hospital variation. The rise in caesarean section rates reflects a globally disturbing trend, and changes in policy and training that creates a uniform standard across hospitals should be considered.
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spelling pubmed-69951232020-02-04 Caesarean section rates from Malaysian tertiary hospitals using Robson’s 10-group classification Karalasingam, Shamala Devi Jeganathan, Ravichandran Jegasothy, Ravindran Reidpath, Daniel D. BMC Pregnancy Childbirth Research Article BACKGROUND: Rising caesarean section rates is a concern worldwide. This study aimed to use Robson’s ten group classification to identify which groups of women were contributing most to the rising caesarean section rates in Malaysian tertiary hospitals and to compare between hospitals, using a common standard set of variables. METHODS: A 5-year (2011–2015) cross-sectional study was conducted using data from the Malaysian National Obstetrics Registry (NOR). A total of 608,747 deliveries were recorded from 11 tertiary state hospitals and 1 tertiary hospital from the Federal territory. RESULTS: During the study period, there were 141,257 Caesarean sections (23.2%). Caesarean sections in Group 1 (nulliparous term pregnancy in spontaneous labour) and Group 3 (multiparous term pregnancy in spontaneous labour) had an increasing trend from 2011 to 2015. The group that contributed most to the overall caesarean section rates was Group 5 (multiparous, singleton, cephalic≥37 weeks with previous caesarean section) and the rates remained high during the 5-year study period. Groups 6, 7 and 9 had the highest caesarean section rates but they made the smallest contribution to the overall rates. CONCLUSIONS: Like many countries, the rate of caesarean section has risen over time, and the rise is driven by caesarean section in low-risk groups. There was an important hospital to hospital variation. The rise in caesarean section rates reflects a globally disturbing trend, and changes in policy and training that creates a uniform standard across hospitals should be considered. BioMed Central 2020-01-31 /pmc/articles/PMC6995123/ /pubmed/32005188 http://dx.doi.org/10.1186/s12884-020-2760-2 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Karalasingam, Shamala Devi
Jeganathan, Ravichandran
Jegasothy, Ravindran
Reidpath, Daniel D.
Caesarean section rates from Malaysian tertiary hospitals using Robson’s 10-group classification
title Caesarean section rates from Malaysian tertiary hospitals using Robson’s 10-group classification
title_full Caesarean section rates from Malaysian tertiary hospitals using Robson’s 10-group classification
title_fullStr Caesarean section rates from Malaysian tertiary hospitals using Robson’s 10-group classification
title_full_unstemmed Caesarean section rates from Malaysian tertiary hospitals using Robson’s 10-group classification
title_short Caesarean section rates from Malaysian tertiary hospitals using Robson’s 10-group classification
title_sort caesarean section rates from malaysian tertiary hospitals using robson’s 10-group classification
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995123/
https://www.ncbi.nlm.nih.gov/pubmed/32005188
http://dx.doi.org/10.1186/s12884-020-2760-2
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