Robson Ten-Group Classification Study of Cesarean Section Rates in Assiut Hospitals

NCT07194876 | Not Yet Recruiting

• 1 other identifier: AUN-OBGYN-RobsonCS-2026
• Study Type: observational
• Target: 770
• Locations: 0 countries
• Sites: N/A

Brief Summary

Cesarean section (C-section) rates have increased worldwide, and Egypt is among the countries with the highest rates. In some hospitals, more than half of all births are done by cesarean delivery. The World Health Organization (WHO) recommends using the "Robson Ten Group Classification System" to better understand and compare C-section rates. This study will use the Robson classification system to evaluate the rate of cesarean deliveries in two hospitals in Assiut, Egypt: Assiut University Hospital and Assiut General Hospital. The study will collect information from medical records of women who delivered by cesarean section between January and December 2026. The main goal is to identify which groups of women contribute most to the high C-section rate and to compare practices between the two hospitals. The study will also look at outcomes for both mothers and newborns. By doing this, we hope to provide useful information that can help improve obstetric care, reduce unnecessary cesarean deliveries, and improve health outcomes for mothers and babies in Egypt.

Conditions

Cesarean Section; Maternal Health

Keywords

Robson Ten Group Classification; Cesarean Section Rate; Maternal Outcomes

Outcome Measures

Primary Outcomes (1)

• Distribution of cesarean deliveries by Robson Ten Group Classification

  Proportion of cesarean section deliveries categorized into the ten Robson groups, calculated as a percentage of total cesarean deliveries. The main objective is to identify the groups contributing most to the overall cesarean section rate.

  January 2026 - December 2026

Secondary Outcomes (1)

• Comparison of cesarean section rates within Robson groups between hospitals

  January 2026 - December 2026

Study Arms (1)

Cesarean Deliveries in Assiut Hospitals

Women who delivered by cesarean section at Assiut University Hospital or Assiut General Hospital dur

Other: No Intervention (subjects were previously treated with Onglyza®)

Interventions

No Intervention (subjects were previously treated with Onglyza®) OTHER

no intervention

Cesarean Deliveries in Assiut Hospitals

Eligibility Criteria

• Age: 18 Years - 45 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Women delivering by cesarean section at Assiut University Hospital and Assiut General Hospital in Assiut, Egypt, between January and December 2026. Data will be collected from medical records and classified using the Robson Ten Group Classification System.

You may qualify if:

• Women who delivered by cesarean section at Assiut University Hospital or Assiut General Hospital during the study period (January-December 2026).
• Gestational age ≥ 28 weeks.
• Complete medical records available.

You may not qualify if:

• Vaginal deliveries.
• Cesarean deliveries before 28 weeks of gestation.
• Incomplete or missing medical records.

Sponsors & Collaborators

• Assiut University: lead

Related Publications (3)

• 3. World Health Organization. Robson classification: implementation manual. Geneva: WHO; 2017.

  BACKGROUND

• Betran AP, Ye J, Moller AB, Souza JP, Zhang J. Trends and projections of caesarean section rates: global and regional estimates. BMJ Glob Health. 2021 Jun;6(6):e005671. doi: 10.1136/bmjgh-2021-005671.

  PMID: 34130991 BACKGROUND

• Elnakib S, Abdel-Tawab N, Orbay D, Hassanein N. Medical and non-medical reasons for cesarean section delivery in Egypt: a hospital-based retrospective study. BMC Pregnancy Childbirth. 2019 Nov 8;19(1):411. doi: 10.1186/s12884-019-2558-2.

  PMID: 31703638 BACKGROUND

MeSH Terms

Interventions

saxagliptin

Central Study Contacts

fatma salah sayed, resident

CONTACT

01004231328; thefreedomeizahraa@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Resident, Obstetric and Gynecology Department

Study Record Dates

• First Submitted: September 19, 2025
• First Posted: September 26, 2025
• Study Start: December 1, 2025
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): February 1, 2027
• Last Updated: September 26, 2025

Record last verified: 2025-09