Using Robson's Ten-Group Classification System for comparing caesarean section rates in Europe: an analysis of routine data from the Euro-Peristat study.
Caesarean birth
Europe
Robson classification
Ten-Group Classification System
health information systems
perinatal health indicators
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
accepted:
11
12
2020
pubmed:
19
12
2020
medline:
3
8
2021
entrez:
18
12
2020
Statut:
ppublish
Résumé
Robson's Ten Group Classification System (TGCS) creates clinically relevant sub-groups for monitoring caesarean birth rates. This study assesses whether this classification can be derived from routine data in Europe and uses it to analyse national caesarean rates. Observational study using routine data. Twenty-seven EU member states plus Iceland, Norway, Switzerland and the UK. All births at ≥22 weeks of gestational age in 2015. National statistical offices and medical birth registers derived numbers of caesarean births in TGCS groups. Overall caesarean rate, prevalence and caesarean rates in each of the TGCS groups. Of 31 countries, 18 were able to provide data on the TGCS groups, with UK data available only from Northern Ireland. Caesarean birth rates ranged from 16.1 to 56.9%. Countries providing TGCS data had lower caesarean rates than countries without data (25.8% versus 32.9%, P = 0.04). Countries with higher caesarean rates tended to have higher rates in all TGCS groups. Substantial heterogeneity was observed, however, especially for groups 5 (previous caesarean section), 6, 7 (nulliparous/multiparous breech) and 10 (singleton cephalic preterm). The differences in percentages of abnormal lies, group 9, illustrate potential misclassification arising from unstandardised definitions. Although further validation of data quality is needed, using TGCS in Europe provides valuable comparator and baseline data for benchmarking and surveillance. Higher caesarean rates in countries unable to construct the TGCS suggest that effective routine information systems may be an indicator of a country's investment in implementing evidence-based caesarean policies. Many European countries can provide Robson's Ten-Group Classification to improve caesarean rate comparisons.
Identifiants
pubmed: 33338307
doi: 10.1111/1471-0528.16634
pmc: PMC8359161
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1444-1453Subventions
Organisme : Public Health Programme, Consumers, Health, Agriculture and Food Executive Agency (CHAFEA)
Organisme : InfAct
ID : 801553
Organisme : Joint Action
ID : 801553
Organisme : Bridge Health Project
ID : 665691
Investigateurs
Gerald Haidinger
(G)
Jeannette Klimont
(J)
Gisèle Vandervelpen
(G)
Wei-Hong Zhang
(WH)
Evelin Jordanova
(E)
Rumyana Kolarova
(R)
Boris Filipovic-Grcic
(B)
Zeljka Drausnik
(Z)
Urelija Rodin
(U)
Theopisti Kyprianou
(T)
Vasos Scoutellas
(V)
Petr Velebil
(P)
Laust Mortensen
(L)
Luule Sakkeus
(L)
Anna Heino
(A)
Anne Chantry
(A)
Catherine Deneux Tharaux
(C)
Nicholas Lack
(N)
Aris Antsaklis
(A)
István Berbik
(I)
Sheelagh Bonham
(S)
Karen Kearns
(K)
Izabela Sikora
(I)
Marina Cuttini
(M)
Janis Misins
(J)
Irisa Zile
(I)
Jelena Isakova
(J)
Audrey Billy
(A)
Sophie Couffignal
(S)
Aline Lecomte
(A)
Guy Weber
(G)
Miriam Gatt
(M)
Peter Achterberg
(P)
Lisa Broeders
(L)
Ashna Hindori-Mohangoo
(A)
Rupali Akerkar
(R)
Kari Klungsøyr
(K)
Katarzyna Szamotulska
(K)
Henrique Barros
(H)
Mihai Horga
(M)
Vlad Tica
(V)
Jan Cap
(J)
Natasa Tul
(N)
Ivan Verdenik
(I)
Francisco Bolumar
(F)
Mireia Jané
(M)
Adela Recio Alcaide
(AR)
Maria José Vidal
(MJ)
Oscar Zurriaga
(O)
Karin Källén
(K)
Anastasia Nyman
(A)
Sylvan Berrut
(S)
Mélanie Riggenbach
(M)
Tonia A Rihs
(TA)
Lucy Smith
(L)
Rachael Wood
(R)
Marie Delnord
(M)
Alice Hocquette
(A)
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Type : ErratumIn
Informations de copyright
© 2021 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.
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