Use of Modified Robson Criteria for an audit of Caesarean Section at a Tertiary Care Hospital
Faiza Khanum, Uzma Afreen, Syed Fazal-E-Karim, Samee Uddin, Erum Pervaiz, Shazia Mehmood Awan
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ABSTRACT
Objective: To find out the incidence of C-Section rate
and reducing it after auditing by use of Modified Robson Criteria.
Methodology: This study was conducted by collecting data
prospectively. All C-Sections were classified according to Modified Robson
Criteria in 12 Groups after modification. Calculations were made as size of
each group, rate of C-Section and contribution of each group. Audit of
C-Section carried out after first six months, and then strategies were made to
reduce the rate, which was implemented. Re-audit was carried out after six
months, thus completing the audit cycle. Frequency and percentage were
calculated by data analysis using Excel 2010
Result: C-Section rate was
51.54% initially then re-audit showed a reduced rate of 39.74%. Maximum contribution
26.05% to total C-Section rate was made by group 5 which was reduced to 20.04%
in re-audit. While 11.48% was contributed by group12 which was reduced to 8.44%
in re-audit.
Conclusion: Modified Robson Criteria is an effective tool
for the audit of C-section. It also allow us for exact identification of area for
improvement and making modification of clinical practice to reduce C-Section
rate
Keywords: C-Section rate, Modified Rosbson Criteria,
Clinical Audit and Re-Audit.