Abstract
<i>Introduction</i>: There is a rising concern regarding the escalating rates of caesarean section (CS) in various countries, including Tanzania. This study aimed to evaluate the rate of CS by using Ten-Group Robson Classification system at the obstetric unit of Mnazi Mmoja Hospital, Zanzibar. Materials and <i>Methods</i>: Observational retrospective study was conducted involving 56,314 women who gave birth at the obstetric unit of Mnazi Mmoja Teaching Hospital between January 2018 and December 2022. Relevant information pertaining to the study participants was retrieved from their respective delivery records. Data analysis was performed using SPSS Statistics for Windows, version 10. <i>Results</i>: The CS rate was 65%, among the different groups, the most significant contributors to the CS rate were as follows: multiparous women with previous CS, single, cephalic, term (group 5) accounted for 16.9%; nulliparous women and women with the preterm single cephalic, term (group 10) accounted for 13.8%; single cephalic term multiparous women in spontaneous labour (group 3) accounted for 13.5%; and nulliparous single cephalic, term, with spontaneous labour (group 1) accounted for 12.6%. The most common indication for CS was previous CS (10,571 cases; 28.8%), followed by hypertensive disorders (7,735 cases; 21.1%) and poor progress in labour (6,692 cases; 18.3%). The analysis of maternal outcomes was 204 maternal deaths, cases of Post partum haemorrhage (PPH) (22.6%), wound infection (24%) and cesarean hysterectomy (15.2%). Regarding neonatal outcomes, stillbirth accounted for 46.6%, lower Apgar Score 28.9% and Neonatal sepsis 24.5%. <i>Conclusion</i>: We observed a significant increase in the CS rate at Mnazi Mmoja Hospital. Based on our analysis of Robson classification and with maternal and neonatal outcomes, it is evident that improvements in labor management at the hospital are necessary. By prioritizing this enhancement, we can strive to optimize maternal and neonatal care, leading to healthier outcomes for both mothers and their babies.
Cite this
Salma Abdi Mahmoud; Ali M. Ussi; Rashid Saleh Khamis; Said Ali Said; Chukwuma Okafor; Mansab Ramadhan Mansab; Muhiddin Abdi Mahmoud; Mwanaisha Juma Fakih; Shuwena Abdalla Hamad; Rahma Ali; Ali Said Yussuf; Sabra Salim Masoud; Kamilya Ali Omar; Ummulkulthum Omar Hamad; Hassanat Mohammed Abdallah; Zeyana Abdulaziz Ibrahim; Amina Idrissa Ahmada; Alawiya Abubakar Ahmed; Fatma Mrisho Haji; Aziza Ali Haji; Ibrahim Salum; Asya Mohammed Ali; Ali Juma Hassan; Aysha Mwalim Omar; Chausiku Jumbe Darwesh; Sabrina Bashir Mohamed; Salma Mahmoud, (2023), Stepping Towards Improved Audit Quality: The Outcome of Caesarean Section Using the Robson Ten Group Classification System at Mnazi Mmoja Hospital, Zanzibar, Journal of Gynecology and Obstetrics
