EVALUATION OF TGCS-TEN “GROUPS CLASSIFICATION SYSTEM” FOR CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL OF UTTAR PRADESH

Abstract

Caesarean section is an important life saving intervention that can reduce maternal and neonatal morbidity and mortality. “When medically necessary, a caesarean section can effectively prevent maternal and newborn mortality”, but complications with adverse feto-maternal outcome is well documented too.This analytical observational study was done to analyse caesarean section in a tertiary care hospital of north India. 
Aim and objective:To find out overall CS rate and alsoCS rates in different categories of pregnancy with group size according to TGCS-TEN “GROUPS CLASSIFICATION SYSTEM” 
Result:Total number of deliveries in one year duration was 4443. Total no.vaginal deliveries =2462; no. of CSs = 1981contributing to caesarean section rate of44.58%. 
Discussion and Conclusion:The single group that most contributed to the overall CS rate was Group 5, accounted for about 1/3???????? (34.1%) of all the CS in our setting . Women with a single previous CS (Group 5.1) were the ones that contributed most to the overall rate of CS (15.23%).Therefore, it would make sense to implement interventions to reduce the rate of CS in this specific subgroup. The secondgroup contributing to the overall CS rate was Group 1 , (25.99%).Therefore, this would also be an important group to target in order to reduce the overall CS rate. In conclusion we found out that TGCS-TEN “GROUPS CLASSIFICATION SYSTEM” is very important tool to identify target population to decrease CS rate and thus preventing unforeseen complications of caesarean section with better maternal care.