Trends in cesarean section rates during Covid-19 pandemic based on Robson classification at Sanjiwani Hospital
DOI:
https://doi.org/10.24843/BAJ.2022.v05.i02.p01Keywords:
Robson Classification, caesarean section rate, RSUD Sanjiwani GianyarAbstract
Background: The Cesarean section rate in 2017 in Bali Province was 32.7%. The Covid-19 pandemic has raised problems in management pregnant women, especially determining mode of delivery.
Aim: This study was conducted to determine the effect of the pandemic on the rate of cesarean section deliveries by comparing the absolute cesarean section rates in 2019 and 2020 using the Robson Classification. This study was a descriptive retrospective. The subjects were all pregnant mother who gave birth at the RSUD Sanjiwani Gianyar in 2019 and 2020. The data were taken from medical records then analyzed using Robson Classification and further analysis of the causes of caesarean section.
Result: From 396 research subjects, the cesarean section rate in 2020 was 52.8%, increased 123.7% compared to the cesarean section rate in 2019 (23.6%). Based on Robson's classification, the highest cesarean section rate was in group 5 with an absolute rate 10.7%, group 1 (8.6%) and group 4 (7.2%). Further analysis showed the largest indications of the cesarean section were maternal conditions (28.3%) and fetal indications (27.9%).
Conclusion: There was a significant increase of cesarean sections rate in 2020 during covid-19 pandemic. The highest indications for cesarean section are maternal conditions and fetal indications.
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