Midwifery-led care can lower caesarean section rates according to the Robson ten group classification system

Margaret Hanahoe, Margaret Hanahoe (2020) Midwifery-led care can lower caesarean section rates according to the Robson ten group classification system. European Journal of Midwifery, 4 (1). pp. 1-5. ISSN 2585-2906

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Abstract

INTRODUCTION Midwifery-led care is recognised as the best choice of maternity care for low-risk women. Robson’s Ten Group Classification System (TGCS) is an internationally
recognised audit tool, however there is no midwifery-led service presenting their statistics in this way. The objective of this study was to analyse caesarean section rates for the women attending midwifery-led care at the National Maternity Hospital Dublin, Ireland, using the Robson TGCS. METHODS This is a retrospective study of electronic records for a total of 1097 women who were booked to attend the community midwife team in the National Maternity Hospital, during 2016 and 2017. RESULTS The rate of caesarean section in low-risk nulliparous women (Robson Group 1) was under 6%, without affecting the perinatal outcome. The induction rate in nulliparous women (Group 2) was 36%, less than the national average the cesarean rates were quadruple in this group. CONCLUSIONS Low-risk women who attend midwifery-led services, have a low caesarean section rate in this study. This was achieved with continuity of care, good antenatal preparation, and support throughout labour and birth by a dedicated team of midwives. Outcomes can only be truly compared if we use the same criteria to measure them. The TGCS demonstrates the effectiveness of midwifery-led care.

Item Type:	Article
Uncontrolled Keywords:	caesarean section, audit, community midwifery, Robson ten group classification system, low-risk nulliparous women
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	04 Jul 2022 00:41
Last Modified:	04 Jul 2022 00:41
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1204

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