Table 4 The cesarean section rate and proportion in different hospital type by Robson Ten-Group Classification System.
From: Dissecting the current caesarean section rate in Shanghai, China
Robson Classification | Characteristics | Hospital type | Percent of total births (%) | CS rate (%) | Proportion of total caesareans (%) |
|---|---|---|---|---|---|
NS (1) | Nulliparous, singleton, cephalic, ≥37 weeks’ gestation, in spontaneous labour | ||||
Tertiary maternity Hospital | 32.86 | 3.13 | 2.54 | ||
Secondary maternity Hospital | 31.25 | 8.17 | 6.37 | ||
Tertiary general Hospital | 29.9 | 10.97 | 6.83 | ||
Secondary general Hospital | 23.5 | 13.37 | 7.15 | ||
NI (2a) | Nulliparous, singleton, cephalic, ≥37 weeks’ gestation, induced labour | ||||
Tertiary maternity Hospital | 16.07 | 13.6 | 5.4 | ||
Secondary maternity Hospital | 13.35 | 21.51 | 7.16 | ||
Tertiary general Hospital | 10.05 | 33.07 | 6.92 | ||
Secondary general Hospital | 10.95 | 22.98 | 5.73 | ||
NC (2b) | Nulliparous, singleton, cephalic, ≥37 weeks’ gestation, caesarean section before labour | ||||
Tertiary maternity Hospital | 18.05 | 100 | 44.6 | ||
Secondary maternity Hospital | 13.85 | 100 | 34.55 | ||
Tertiary general Hospital | 17.09 | 100 | 35.59 | ||
Secondary general Hospital | 12.07 | 100 | 27.47 | ||
MS (3) | Multiparous (excluding previous caesarean section), singleton, cephalic, ≥37 weeks’ gestation, in spontaneous labour | ||||
Tertiary maternity Hospital | 7.87 | 1.53 | 0.3 | ||
Secondary maternity Hospital | 14.83 | 2.37 | 0.88 | ||
Tertiary general Hospital | 12.06 | 3.78 | 0.95 | ||
Secondary general Hospital | 18.37 | 1.93 | 0.81 | ||
MI (4a) | Multiparous without a previous uterine scar, with singleton, cephalic pregnancy, ≥37 weeks’ gestation, induced labour | ||||
Tertiary maternity Hospital | 2.07 | 0 | 0 | ||
Secondary maternity Hospital | 2.91 | 3.68 | 0.27 | ||
Tertiary general Hospital | 1.7 | 6.75 | 0.24 | ||
Secondary general Hospital | 4.11 | 11.23 | 1.05 | ||
MC (4b) | Multiparous without a previous uterine scar, with singleton, cephalic pregnancy, ≥37 weeks’ gestation, caesarean section before labour | ||||
Tertiary maternity Hospital | 0.58 | 100 | 1.43 | ||
Secondary maternity Hospital | 1.64 | 100 | 4.1 | ||
Tertiary general Hospital | 2.19 | 100 | 4.57 | ||
Secondary general Hospital | 2.34 | 100 | 5.33 | ||
PC (5) | Previous caesarean section, singleton, cephalic, ≥37 weeks’ gestation | ||||
Tertiary maternity Hospital | 8.51 | 94.21 | 19.82 | ||
Secondary maternity Hospital | 11.75 | 98.68 | 28.93 | ||
Tertiary general Hospital | 11.18 | 97.96 | 22.82 | ||
Secondary general Hospital | 16.76 | 94.68 | 36.13 | ||
BR (6 + 7 + 9) | All nulliparous with a single breech, All multiparous with a single breech (including previous caesarean section), and All women with a single pregnancy in transverse or oblique lie (including those with previous caesarean section) | ||||
Tertiary maternity Hospital | 4.27 | 97.93 | 10.34 | ||
Secondary maternity Hospital | 4.53 | 98 | 11.08 | ||
Tertiary general Hospital | 5.02 | 87.33 | 9.13 | ||
Secondary general Hospital | 4.48 | 76.29 | 7.79 | ||
TW (8) | All multiparous (including previous caesarean section) | ||||
Tertiary maternity Hospital | 3.73 | 95.45 | 8.79 | ||
Secondary maternity Hospital | 1.16 | 93.8 | 2.7 | ||
Tertiary general Hospital | 2.13 | 83.1 | 3.68 | ||
Secondary general Hospital | 1.08 | 97.52 | 2.4 | ||
PT (10) | All singleton, cephalic, <37 weeks’ gestation pregnancies (including previous caesarean section) | ||||
Tertiary maternity Hospital | 5.51 | 49.01 | 6.68 | ||
Secondary maternity Hospital | 4.42 | 35.07 | 3.87 | ||
Tertiary general Hospital | 7.34 | 52.42 | 8.02 | ||
Secondary general Hospital | 5.81 | 44.22 | 5.85 | ||
UK (99) | Unknown | ||||
Tertiary maternity Hospital | 0.48 | 8.63 | 0.1 | ||
Secondary maternity Hospital | 0.3 | 14.2 | 0.11 | ||
Tertiary general Hospital | 1.34 | 44.97 | 1.25 | ||
Secondary general Hospital | 0.51 | 24.3 | 0.28 |
