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Stepping Towards Improved Audit Quality: The Outcome of Caesarean Section Using the Robson Ten Group Classification System at Mnazi Mmoja Hospital, Zanzibar

Received: 15 June 2023     Accepted: 3 July 2023     Published: 11 July 2023
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Abstract

Introduction: 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 Methods: 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. Results: 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%. Conclusion: 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.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 3)
DOI 10.11648/j.jgo.20231103.13
Page(s) 73-79
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Cesarean Section, Maternal Outcome, Neonatal Outcome, Robson 10-Group Classification System

References
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Cite This Article
  • APA Style

    Salma Abdi Mahmoud, Ali Makame Ussi, Rashid Saleh Khamis, Said Ali Said, Chukwuma Okafor, et al. (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, 11(3), 73-79. https://doi.org/10.11648/j.jgo.20231103.13

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    ACS Style

    Salma Abdi Mahmoud; Ali Makame Ussi; Rashid Saleh Khamis; Said Ali Said; Chukwuma Okafor, et al. Stepping Towards Improved Audit Quality: The Outcome of Caesarean Section Using the Robson Ten Group Classification System at Mnazi Mmoja Hospital, Zanzibar. J. Gynecol. Obstet. 2023, 11(3), 73-79. doi: 10.11648/j.jgo.20231103.13

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    AMA Style

    Salma Abdi Mahmoud, Ali Makame Ussi, Rashid Saleh Khamis, Said Ali Said, Chukwuma Okafor, et al. Stepping Towards Improved Audit Quality: The Outcome of Caesarean Section Using the Robson Ten Group Classification System at Mnazi Mmoja Hospital, Zanzibar. J Gynecol Obstet. 2023;11(3):73-79. doi: 10.11648/j.jgo.20231103.13

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  • @article{10.11648/j.jgo.20231103.13,
      author = {Salma Abdi Mahmoud and Ali Makame Ussi and Rashid Saleh Khamis and Said Ali Said and Chukwuma Okafor and Mansab Ramadhan Mansab and Muhiddin Abdi Mahmoud and Mwanaisha Juma Fakih and Shuwena Abdalla Hamad and Rahma Mussa Ali and Ali Said Yussuf and Sabra Salim Masoud and Kamilya Ali Omar and Ummulkulthum Omar Hamad and Hassanat Mohammed Abdallah and Zeyana Abdulaziz Ibrahim and Amina Idrissa Ahmada and Alawiya Abubakar Ahmed and Fatma Mrisho Haji and Aziza Ali Haji and Ibrahim Shaaban Salum and Asya Mohammed Ali and Ali Juma Hassan and Aysha Mwalim Omar and Chausiku Jumbe Darwesh and Sabrina Bashir Mohamed},
      title = {Stepping Towards Improved Audit Quality: The Outcome of Caesarean Section Using the Robson Ten Group Classification System at Mnazi Mmoja Hospital, Zanzibar},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {3},
      pages = {73-79},
      doi = {10.11648/j.jgo.20231103.13},
      url = {https://doi.org/10.11648/j.jgo.20231103.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231103.13},
      abstract = {Introduction: 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 Methods: 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. Results: 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%. Conclusion: 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.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Stepping Towards Improved Audit Quality: The Outcome of Caesarean Section Using the Robson Ten Group Classification System at Mnazi Mmoja Hospital, Zanzibar
    AU  - Salma Abdi Mahmoud
    AU  - Ali Makame Ussi
    AU  - Rashid Saleh Khamis
    AU  - Said Ali Said
    AU  - Chukwuma Okafor
    AU  - Mansab Ramadhan Mansab
    AU  - Muhiddin Abdi Mahmoud
    AU  - Mwanaisha Juma Fakih
    AU  - Shuwena Abdalla Hamad
    AU  - Rahma Mussa Ali
    AU  - Ali Said Yussuf
    AU  - Sabra Salim Masoud
    AU  - Kamilya Ali Omar
    AU  - Ummulkulthum Omar Hamad
    AU  - Hassanat Mohammed Abdallah
    AU  - Zeyana Abdulaziz Ibrahim
    AU  - Amina Idrissa Ahmada
    AU  - Alawiya Abubakar Ahmed
    AU  - Fatma Mrisho Haji
    AU  - Aziza Ali Haji
    AU  - Ibrahim Shaaban Salum
    AU  - Asya Mohammed Ali
    AU  - Ali Juma Hassan
    AU  - Aysha Mwalim Omar
    AU  - Chausiku Jumbe Darwesh
    AU  - Sabrina Bashir Mohamed
    Y1  - 2023/07/11
    PY  - 2023
    N1  - https://doi.org/10.11648/j.jgo.20231103.13
    DO  - 10.11648/j.jgo.20231103.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 73
    EP  - 79
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231103.13
    AB  - Introduction: 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 Methods: 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. Results: 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%. Conclusion: 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.
    VL  - 11
    IS  - 3
    ER  - 

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Author Information
  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Natural Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, School of Health and Medical Sciences, State University of Zanzibar, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

  • Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar, Tanzania

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