Improving Safe Vaginal Deliveries for Delivering Mothers by Implementing an Intervention Package of 11 Evidence-based Practices and Robson Classification at a Semi-urban Hospital in Dhaka, Bangladesh

Absolute and non-absolute indications for caesarean sections

Proportion of absolute and non-absolute indications among all deliveries by caesarean sections. Absolute indications are situations where vaginal delivery is not possible or poses a highly significant risk to the mother or baby. Non-absolute indications are situations where a caesarean section might be considered based on the potential risks and benefits for both the mother and the baby, and vaginal delivery may still be an option. Absolute indications include: obstructed labour, grade 3 or 4 placenta praevia, impending uterine rupture, and malpresentation. Non-absolute indications include: failure to progress in labour, prolonged labour, failed induction, previous caesarean delivery, antepartum haemorrhage, preeclampsia/eclampsia, psychological indication, maternal request, precious (valuable) pregnancy, foetal compromise, and breech presentation.

Time frame: 70 weeks

Robson classification for all deliveries

Robson classification for all deliveries. The Robson classification is a system for classifying pregnant women who undergo childbirth. There are a total of 12 mutually-exclusive groups and subgroups to which every delivering mother is assigned to. These are: 1 Nulliparous, single cephalic, \>=37 weeks, spontaneous labour; 2a Nulliparous, single cephalic, \>=37 weeks, induced labour; 2b Nulliparous, single cephalic, \>=37 weeks, CS before labour; 3 Multiparous (no previous CS), single cephalic, \>=37 weeks, spontaneous labour; 4a Multiparous (no previous CS), single cephalic, \>=37 weeks, induced labour; 4b Multiparous (no previous CS), single cephalic, \>=37 weeks, CS before labour; 5 Multiparous, previous CS, single cephalic, \>=37 weeks; 6 Nulliparous with single breech; 7 Multiparous with single breech (including previous CS); 8 All multiple pregnancies (including previous CS); 9 All abnormal lies (including previous CS); 10 All single cephalic, \<37 weeks (including previous CS).

Time frame: 70 weeks

Absolute CS rate by Robson Classification

Absolute proportion of caesarean sections among all Robson groups. Absolute rate is calculated by: number of caesarean section in the Robson group/total number of deliveries in the hospital \* 100

Time frame: 70 weeks

Relative CS rate by Robson Classification

Relative proportion of caesarean sections among all Robson groups. Relative rate is calculated by: number of caesarean sections in the Robson group/total number of caesarean sections in the hospital \* 100

Time frame: 70 weeks