Cesarean Section Rates in Armenia: A Robson Classification Analysis of a Tertiary Care Hospital's Experience

Background: This study examines the cesarean section (CS) rates in Armenia, focusing on the experience of a tertiary care hospital, Erebouni Medical Center, utilizing the Robson classification system. Erebouni Medical Center, renowned for its comprehensive medical services, including obstetric care, serves as a vital resource for maternal and neonatal health in Armenia.

Methods: This cross-sectional study was carried out on 14105 women who delivered from 1th Januar 2018 to 31th December 2020 in Maternity House of Erebouni medical center. Data was collected from the women admitted for delivery using Robson's Pro forma. Relative size and caesarean rate of each group and overall caesarean section rate was calculated.

Results: Of the total 14105 deliveries, 6826 (44.5%) were caesarean deliveries and 7280 (55.5%) had vaginal deliveries. The examination of cesarean section (CS) rates at Erebouni Medical Center over the period of 2018-2020 unveils a substantial surge from 36.8% in 2016 to 46.2% in 2022. During the study period most pregnant women, comprising 26.6% of the total, were classified under group 3 of the Robson classification. Subsequently, we observed a gradual decrease in percentage distribution across other groups: group 1 accounted for 21.8% of cases, group 5 represented 13.4%, group 2b comprised 10.4%, and group 10 constituted 9.6% of cases, respectively. The remaining Robson groups each represented less than 5% of the total percentage distribution.