@article{fdi:010092909,
  title = {{C}an the {R}obson {T}en {G}roup {C}lassification {S}ystem improve the understanding of maternity care in low-income countries ? {A} cross-sectional study in {B}urkina {F}aso},
  author = {{K}abore, {C}. and {T}iendrebeogo, {S}. and {B}etran, {A}. {P}. and {R}avit, {M}. and {R}obson, {M}. and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {O}bjective: {T}his study aimed to use the {R}obson {T}en {G}roup {C}lassification {S}ystem ({TGCS}) to assess caesarean section ({CS}) rates and other outcomes in eight referral hospitals in {B}urkina {F}aso before the implementation of non-clinical interventions to reduce unnecessary {CS}s. {D}esign {T}his is a cross-sectional study. {S}etting {W}e conducted a 9-month prospective observational study on women who gave birth at eight referral hospitals in {B}urkina {F}aso between 1 {A}pril 2020 and 31 {D}ecember 2020. {P}articipants {W}e analysed 24 643 women who gave birth at the eight participating hospitals during the study period. {O}utcomes measures {W}e reported the relative size, {CS} rate and absolute contribution of each {R}obson group. {T}hese indicators were calculated for both referred and non-referred women. {O}xytocin administration and stillbirth rates were calculated for women without previous {CS} and with a single fetus at cephalic presentation at term (groups 1-4). {R}esults {O}verall, 24 643 women gave birth at the eight participating hospitals during the 9- month study period. {T}he overall {CS} rate was 30.6%. {W}omen in spontaneous labour with a single fetus in the cephalic presentation at term without previous {CS} (groups 1 and 3) had high {CS} rates (26.5% and 15%, respectively), low oxytocin use (7.9% and 6.5%, respectively), and high stillbirth rates (3.4% and 3.9%, respectively). {T}hese subgroups of women were major contributors to the overall {CS} rate. {C}onclusion {O}ur results indicate that, in referral hospitals in {B}urkina {F}aso, the {CS} practice for referred women in groups 1 and 3 of the {TGCS} should receive special attention. {T}hese results also reveal areas for clinical improvement to reduce primary {CS}, especially in nulliparous women. {T}he use of the {TGCS} is important in low-income countries where low {CS} rates at the population level may conceal suboptimal labour management in healthcare facilities.},
  keywords = {{C}aesarean section ; {L}ow-income countries ; {TGCS} ; {R}eferral hospital ; {BURKINA} {FASO}},
  booktitle = {},
  journal = {{BMJ} {O}pen},
  volume = {15},
  numero = {3},
  pages = {e086892 [11 p.]},
  ISSN = {2044-6055},
  year = {2025},
  DOI = {10.1136/bmjopen-2024-086892},
  URL = {https://www.documentation.ird.fr/hor/fdi:010092909},
}