Table 2

Indications for CS within Robson group in an Ethiopian university hospital

IndicationsGroup 1Group 2Group 3Group 4Group 5Group 6Group 7Group 8Group 9Group 10Total n (%)
Absolute maternal indications359 (36.6)
  Obstructed labour*73 (38.6)4 (7.0)74 (35.2)6 (9.7)29 (14.0)3 (8.8)8 (11.8)0 (0.0)5 (15.6)2 (3.3)204 (20.8)
  Major APH1 (0.5)1 (1.8)32 (15.2)17 (27.4)11 (5.3)2 (5.9)6 (8.8)6 (10.0)2 (6.3)21 (34.4)99 (10.1)
 Malpresentation†5 (2.7)0 (0.0)16 (7.6)0 (0.0)4 (1.9)0 (0.0)0 (0.0)3 (5.0)23 (71.8)0 (0.0)51 (5.2)
  Uterine rupture1 (0.5)0 (0.0)1 (0.5)1 (1.6)2 (1.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)5 (0.5)
Non-absolute indications621 (63.4)
  Fetal compromise‡101 (53.5)13 (22.8)65 (31.0)11 (17.7)20 (9.7)6 (17.6)8 (11.8)5 (8.3)2 (6.3)7 (11.5)238 (24.3)
  Previous CS0 (0.0)0 (0.0)0 (0.0)0 (0.0)136 (65.7)0 (0.0)18 (26.5)5 (8.3)0 (0.0)7 (11.5)166 (16.9)
  Failure to progress§6 (3.2)32 (56.1)5 (2.4)21 (33.9)3 (1.4)7 (20.6)9 (13.2)3 (5.0)0 (0.0)10 (16.4)96 (9.8)
  Breech presentation0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)16 (47.1)19 (27.9)21 (35.0)0 (0.0)0 (0.0)56 (5.7)
  (Severe pre-) eclampsia1 (0.5)2 (3.5)3 (1.4)2 (3.2)0 (0.0)0 (0.0)0 (0.0012 (20.0)0 (0.0)13 (21.3)33 (3.4)
  Others1 (0.5)5 (8.8)14 (6.7)4 (6.5)2 (1.0)0 (0.0)0 (0.0)5 (8.3)0 (0.0)1 (1.6)32 (3.3)
Total n (%)189 (100)57 (100)210 (100)62 (100)207 (100)34 (100)68 (100)60 (100)32 (100)61 (100)980 (100)
  • *Cephalopelvic disproportion, macrosomia and unspecified disproportions.

  • †Transverse, oblique or brow.

  • ‡Fetal distress, cord prolapse and intrauterine growth restriction.

  • §Prolonged labour, cervical arrest and failed induction.

  • APH, antepartum haemorrhage; CS, caesarean section.