Publication

Abstract : Over the past few decades, delivery by cesarean section (CS) has increased dramatically in most of the countries. Rising CS rates are a major public health concern and leading worldwide health debate regarding potential causes of increased maternal and perinatal morbidity and mortality, associated with cesarean section. Robson's 10-group classification system (RTGCS) helps us to identify the main groups of subjects who contribute most to the overall CS rate. A retrospective cross-sectional study was carried out over 1 year from November 21, 2022 to November 20, 2023, in the mother and child health unit of a tertiary care charitable hospital of Palwal, Haryana: Shree Satya Sai Sanjeevani Hospital and Research Center. Being a tertiary care center with NO BILLING POLICY, Shree Satya Sai Sanjeevani Hospital and Research Center automatically eliminates unnecessary C-sections, thereby adhering to standard treatment guidelines. Also, indications like CS on demand or unindicated LSCS are not entertained as per the ethical standards of our institution. Using the RTGCS, we audited all admissions and appreciated that the incidence of cesarean delivery in our setup was 52.1%, exceeding the set standard by World Health Organization (WHO), by approximately 15%. However, these rates are comparable with other similar studies in India. Our study also reflects the need to define separate standards for maternal outcome and mode of delivery depending upon the level of care…primary or tertiary center, with many referrals for high-risk obstetrics.