Background:WHO proposed the Robson classification system as a global standard for assessing , monitoring and comparing caesarean section rates within healthcare facilities overtime and between facilities. Aim: To assess and analyze Cesarean Section Rate (CSR) of Zagazig university hospital over the period of six months using the 10 Group Robson classification system .Patients & methods: This prospective cross sectional study was carried out in the Department of Obstetrics & Gynecology at Zagazig University Hospitals, Zagazig, Sharkia, Egypt, from January 2019 till June 2019. All women admitted for delivery were classified using Robson classification .
Results: 2333 women were admitted for delivery. 854 (36.6%) gave birth by vaginal delivery while 1479(63.4%) by CS. Robson Group 5 (multiparous, term , cephalic and previous cesarean section ) contributed the most to the overall CS rate (53.2 % relative contribution). Group 10(cephalic preterm pregnancies) and group 2 (nulliparous , single , term , cephalic pre labor) were the second and third greatest contributors towards the overall CS rate , with 10.2% and 8.9 % respectively.
Conclusion: Robson Groups 5, 10, and 2 were identified as the main contributors to the overall CS rate at our hospital.