Variation in caesarean section rates according to the Robson classification in four low- and middle-income countries: a meta-analysis of groups 1 to 4.

ABSTRACT:

Background

Caesarean section (CS) rates have increased globally, with substantial variations across healthcare settings. Monitoring CS rates using Robson's Ten Group Classification System (RTGCS) provides insights into obstetric practices. This study examines the variation in CS rates among women classified in Groups 1 to 4 of the RTGCS across hospitals in four low- and middle-income countries (LMICs) and explores hospital-level factors associated with these variations.

Methods

This observational study analyzed CS rates in 32 hospitals (8 per country) in Argentina, Burkina Faso, Thailand, and Vietnam. Data were collected from hospital records between January and December 2020. A meta-analysis assessed hospital-level heterogeneity in CS rates, and meta-regression models explo

SUBMITTER: Ravit M 

PROVIDER: S-EPMC12860067 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature