The New Indian Journal of OBGYN. 10(2):417-422
Indications and feto-maternal outcome of cases under Robson’s group 1 caesarean section in a tertiary health care centre in Assam
Panchanan Das, Tanma Das Saikia, Kirtika Mittal
ABSTRACT
Objectives: To evaluate the indications and feto-maternal outcomes of Robson’s group 1cases undergoing caesarean section. Materials and methods: A time bound, prospective and observational study conducted from 1stJuly 2021 to 30th June 2022 at Gauhati Medical College and Hospital. All nulliparous women, singleton pregnancy, cephalic presentation, gestational age of more than or equal to 37 weeks with spontaneous onset of labour (Robson’s group1) undergoing caesarean section were recruited in the study. Results: During this period, there were 15,859 deliveries, among them 7,024 were born by caesarean section out of which 1,636 belonged to Robson’s group 1. The most common indication of caesarean section was meconium stained liquor (24.7%) and the least common was precious pregnancy (2.1%). In intra-operative maternal complications, most common was atonic postpartum haemorrhage (10.3%), the least common being fetal scalp injury (0.5%). In immediate maternal complications, most common was spinal headache (12.9%) and the least common was atelectasis and thromboembolic event (1.5% each). In early maternal complication, most common was surgical site infection (11.3%) and the least common was lower respiratory tract infection (4.1%). Regarding fetal complications, 19.1% had hyperbilirubinemia and still births were 2.6%. Conclusion: Patients who are in spontaneous labour should undergo caesarean section only for absolute indications for better recovery of the mother and fetus. It is the need of the hour to intervene and decrease the caesarean section rate especially in Robson’s group 1 which will lead to reduction in primary and further subsequent caesarean section rates.