Rate of Cesarean Section in Hospitals Affiliated with Ahvaz Jundishapur University of Medical Sciences, Iran

Aims: The cesarean section rate in Iran is much higher than the rate recommended by the World Health Organization. Implementation of effective measures to reduce the cesarean rate requires proper analysis and classification. Robeson’s classification can be useful in identifying the groups that play the most important role in the cesarean section rate. The present study was conducted to analyze the rate of cesarean section based on Robson’s system in hospitals affiliated with Jundishapur University of Medical Sciences, Ahvaz, Iran. Instrument Methods: This multi-center cross-sectional study, in 2019, examined 950 pregnant women admitted for delivery or cesarean section in two teaching hospitals affiliated with Jundishapur University of Medical Sciences, Iran, using a convenient sampling method. The data collection tool was a checklist based on Robson’s ten classification system. Data were analyzed using SPSS 22 software and descriptive-analytical statistical tests. Findings: The overall cesarean rate was 48.94%. the largest relative contributions to the CS rate were group 5, group 10, and group 1, respectively. The main causes of cesarean section in all groups were previous cesarean section, fetal distress, and severe pre-eclampsia. The number of cesarean sections in midwife-led hospitals was less than in physician-centered hospitals. Conclusion: Group 5 of Robeson’s classification, representing repeated cesarean sections, contributed the most to the overall cesarean rate.