Work

Association of Robson Ten Group Classification System with neonatal/postneonatal mortality: an analysis for the effect of the mass migration

Year: 2025

Type: article

Abstract: Background: Türkiye is the largest host country for refugees and asylum seekers and provides comprehensive maternal care, including antenatal, intrapartum, and postpartum services. However, there is a notable gap in comparative data regarding neonatal and postneonatal mortality for cesarean sections among Turkish citizens and refugees/asylum seekers. Objective: The study aims to: (1) Compare neonatal and postneonatal mortality rates across Robson groups among Turkish citizens and refugees/asylum seekers. (2) Identify risk factors related to neonatal and postneonatal deaths, considering Robson Classification, clinical obstetric parameters, and demographics. (3) Investigate the primary causes of neonatal/postneonatal deaths in a hospital with a cesarean section rate of 48.43%. Study Design: A retrospective cross-sectional study based on hospital electronic data was conducted, analyzing 25,631 cesarean section births. The participants included 89% Turkish citizens and 11% refugees/asylum seekers. Student's t-test, χ² -test, Mann-Whitney U test, Kruskal-Wallis analysis, and logistic regression were applied to identify risk factors and make comparisons. Results: =.001). Risk Factors: Logistic regression analysis identified Robson groups, fetal presentation, gestational age, Apgar scores, and newborn weight/height as significant risk factors for neonatal /postneonatal mortality. However, no significant associations were found with demographic factors, including maternal age, parity, and nationality. Main Causes of Deaths: The leading causes were prematurity (452 cases), congenital abnormalities (160 cases), infections (78 cases), asphyxia (17 cases), and meconium aspiration syndrome (9 cases). Conclusion: The integration of the Robson Classification with neonatal and postneonatal mortality data offers a structured method to assess cesarean section outcomes, emphasizing the significant variation in mortality rates across different Robson groups. Notably, the highest risks were linked to multiple pregnancies, abnormal fetal presentations, and preterm births.

Source: AJOG Global Reports

DOI: 10.1016/j.xagr.2025.100464

Authors: Damla Çarkçı Yıldız, Elif Gül Yapar Eyi

Institutions: Ministry of Health, Sağlık Bilimleri Üniversitesi, Ankara Bilkent City Hospital

Language: English

Topic: Maternal and Perinatal Health Interventions

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,980