Understanding Cesarean Section Utilization Patterns and Outcomes in Level III Obstetric Facilities: A Robson Classification-Based Narrative Review in Kazakhstan

Authors

  • Assel Altayeva Asfendiyarov Kazakh National Medical University, Department of Obstetrics and Gynecology with a course in Clinical Genetics. Almaty, Kazakhstan Author https://orcid.org/0000-0001-5659-0749
  • Saule Issenova Asfendiyarov Kazakh National Medical University, Department of Obstetrics and Gynecology with a course in Clinical Genetics. Almaty, Kazakhstan Author https://orcid.org/0000-0003-1869-746X
  • Shynar Saduakassova Asfendiyarov Kazakh National Medical University, Department of Obstetrics and Gynecology with a course in Clinical Genetics. Almaty, Kazakhstan Author https://orcid.org/0000-0003-1135-9599
  • Zhanara Begniyazova Asfendiyarov Kazakh National Medical University, Department of Obstetrics and Gynecology with a course in Clinical Genetics. Almaty, Kazakhstan Author https://orcid.org/0000-0002-6195-9835
  • Aigerim Shukirbayeva Asfendiyarov Kazakh National Medical University, Department of Obstetrics and Gynecology with a course in Clinical Genetics. Almaty, Kazakhstan Author https://orcid.org/0009-0006-4413-6753

DOI:

https://doi.org/10.56294/saludcyt20251283

Keywords:

Robson's classification, Obstetric classification, Obstetric outcomes, Maternal health

Abstract

Introduction: This review aims to explore the application of Robson’s classification of CS at level III obstetric institutions in Kazakhstan.
Methods: A comprehensive search of multiple online databases, including the Web of Science, Scopus, Google Scholar, PubMed, and the Cochrane Library, was conducted. A qualitative study of previously published studies was also conducted. 
Results:  A systematic search identified 37 relevant articles for review. Analysis of caesarean section rates using Robson's classification showed group 5 (women with a history of caesarean section) had the highest rates. At the same time, groups 6 and 7 (breech presentation) also had elevated rates due to complications. The highest contributors were groups 5, 2, 10 and 1 in a level III obstetric facility.
Conclusion: The application of Robson's classification system in Kazakhstan's obstetric population revealed varying cesarean section rates, particularly among women with previous cesarean sections and breech presentations.

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Published

2025-02-10

How to Cite

1.
Altayeva A, Issenova S, Saduakassova S, Begniyazova Z, Shukirbayeva A. Understanding Cesarean Section Utilization Patterns and Outcomes in Level III Obstetric Facilities: A Robson Classification-Based Narrative Review in Kazakhstan. Salud, Ciencia y Tecnología [Internet]. 2025 Feb. 10 [cited 2025 Mar. 12];5:1283. Available from: https://sct.ageditor.ar/index.php/sct/article/view/1283