ADDRESSING THE RISING RATES OF CESAREAN DELIVERY IN ALEXANDRIA, EGYPT

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Obstetrics and Gynecology Faculty of Medicine University of Alexandria

2 Obstetric and Gynecology department, faculty of Medicine, Alexandria University, Alexandria

3 Professor of Obstetrics & Gynaecology, Faculty of Medicine, University of Alexandria.

Abstract

INTRODUCTION
Cesarean section (CS) rates have increased worldwide , often exceeding levels considered medically justifiable. While CS can be a lifesaving procedure in certain situations, its overuse, especially in low-risk pregnancies, has become a growing subject. In Egypt, the trend is particularly concerning, with rates rising above 50% in many governorates. This rise is driven by a combination of medical decisions, patient preferences, and healthcare factors. To better understand and manage this pattern, the World Health Organization recommends using the Robson Ten Group Classification System (TGCS). This system offers a standardized way to classify all deliveries, making it easier to audit and compare CS practices both within and across institutions. By applying the TGCS, healthcare providers can more reliably recognize which groups account most for the rising CS rates and develop directed approaches to reduce medically unindicated procedures.
AIM OF THE WORK
The aim of this study was to evaluate cesarean section rates in Alexandria, Egypt, using the Robson Ten Group Classification System, and to identify the main clinical indications and contributing factors for CS.

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