Comparison of cesarean section rate in Xingtai People's Hospital from 2015 to 2019 based on Robson Ten Group Classification System

Objective: To explore the changes of cesarean section rate in Xingtai People's Hospital from 2015 to 2019 using Robson Ten Group Classification System and analyze the related factors. Methods: A total of 12064 parturients who gave birth in Xingtai People's Hospital from January 2015 to December 2019 were divided into ten groups using Robson Ten Group Classification System, and the changes of cesarean section rate in each group were analyzed. Results: The age of parturients and proportion of multiparae increased yearly in recent five years, and the cesarean section rate decreased from 66.36% to 47.89% (P<0.001). Among the groups of parturients in recent five years, the proportions of parturients who had a singleton full-term pregnancy with cephalic presentation, who had a full-term pregnancy with scarred uterus and cephalic presentation, who had a singleton pregnancy with breech presentation, who had a multifetal pregnancy and who had a singleton premature pregnancy with cephalic presentation were increasing, but the proportions of parturients who had a singleton full-term pregnancy with cesarean section and cephalic presentation were decreasing (P<0.05). Moreover, the cesarean section rate of parturients who had a singleton full-term pregnancy with cephalic presentation, who had a singleton full-term pregnancy with cesarean section and cephalic presentation and who had a singleton premature pregnancy with cephalic presentation were decreasing in recent five years (P<0.05). Conclusion: The cesarean section rate in Xingtai People's Hospital showed a decreasing trend. The analysis of cesarean section rate and indication using Robson Ten Group Classification System improved the comparability of monitoring data.