{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T16:27:44Z","timestamp":1793809664599,"version":"4.6.1"},"reference-count":83,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.ejogrb.2024.11.052","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T02:27:04Z","timestamp":1733365624000},"page":"178-198","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"special_numbering":"C","title":["Robson ten group classification system for Caesarean sections across Europe: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"305","author":[{"given":"Viktoria","family":"El Radaf","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Let\u00edcia Nunes","family":"Campos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Savona-Ventura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahir","family":"Mahmood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehreen","family":"Zaigham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.ejogrb.2024.11.052_b0005","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2021-005671","article-title":"Trends and projections of caesarean section rates: global and regional estimates","volume":"6","author":"Betran","year":"2021","journal-title":"BMJ Glob Health"},{"issue":"9","key":"10.1016\/j.ejogrb.2024.11.052_b0010","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1111\/1471-0528.16634","article-title":"Using Robson's Ten-Group Classification System for comparing caesarean section rates in Europe: an analysis of routine data from the Euro-Peristat study","volume":"128","author":"Zeitlin","year":"2021","journal-title":"BJOG"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0015","doi-asserted-by":"crossref","first-page":"101","DOI":"10.5334\/aogh.2615","article-title":"Improving the Caesarean decision by Robson classification: A population-based study by 5,323,500 livebirth data","volume":"86","author":"Tontus","year":"2020","journal-title":"Ann Glob Health"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.11.052_b0020","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1111\/1471-0528.13526","article-title":"WHO Working Group on Caesarean Section. WHO statement on caesarean section rates","volume":"123","author":"Betran","year":"2016","journal-title":"BJOG"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0025","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.ejogrb.2024.02.048","article-title":"Joint position statement: substandard and disrespectful care in labour - because words matter","volume":"296","author":"Ayres-de-Campos","year":"2024","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0030","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1111\/1471-0528.17670","article-title":"Trends in caesarean section rates in Europe from 2015 to 2019 using Robson's Ten Group Classification System: a Euro-peristat study","volume":"131","author":"Amyx","year":"2024","journal-title":"BJOG"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0035","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1017\/S0965539501000122","article-title":"Classification of caesarean sections","volume":"12","author":"Robson","year":"2001","journal-title":"Fetal Maternal Med Rev"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0040","first-page":"129","article-title":"EBCOG position statement on caesarean section in Europe","volume":"219","author":"European Board And College Of Obstetrics And Gynaecology EBCOG","year":"2017","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0045","unstructured":"Robson Classification: Implementation Manual. [Internet]. WHO. Published 26 November 2017. Accessed 6 September 2024. Available at: https:\/\/www.who.int\/publications\/i\/item\/9789241513197."},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0050","doi-asserted-by":"crossref","first-page":"264","DOI":"10.7326\/0003-4819-151-4-200908180-00135","article-title":"Group P Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"151","author":"Moher","year":"2009","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0055","unstructured":"Covidence systematic review software, Veritas Health Innovation, Melbourne, Australia. Available at www.covidence.org."},{"key":"10.1016\/j.ejogrb.2024.11.052_b0060","unstructured":"World Atlas. [Internet]. Accessed 6 September 2024. Available at: https:\/\/www.worldatlas.com\/articles\/the-four-european-regions-as-defined-by-the-united-nations-geoscheme-for-europe.html."},{"issue":"9","key":"10.1016\/j.ejogrb.2024.11.052_b0065","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1007\/s10654-010-9491-z","article-title":"Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses","volume":"25","author":"Stang","year":"2010","journal-title":"Eur J Epidemiol"},{"issue":"8","key":"10.1016\/j.ejogrb.2024.11.052_b0070","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1004077","article-title":"Crude and adjusted comparisons of cesarean delivery rates using the Robson classification: a population-based cohort study in Canada and Sweden, 2004 to 2016","volume":"19","author":"Muraca","year":"2022","journal-title":"PLoS Med"},{"issue":"20","key":"10.1016\/j.ejogrb.2024.11.052_b0075","doi-asserted-by":"crossref","first-page":"10727","DOI":"10.3390\/ijerph182010727","article-title":"Investigating caesarean section practice among teenage romanian mothers using modified Robson Ten Group Classification System","volume":"18","author":"Matei","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"12","key":"10.1016\/j.ejogrb.2024.11.052_b0080","doi-asserted-by":"crossref","first-page":"2717","DOI":"10.3109\/14767058.2012.712567","article-title":"Comparative analysis of cesarean delivery rates over a 10-year period in a single Institution using 10-class classification","volume":"25","author":"Ciriello","year":"2012","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"7","key":"10.1016\/j.ejogrb.2024.11.052_b0085","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1515\/jpm-2020-0505","article-title":"Analysis of cesarean section rates in two German hospitals applying the 10-Group Classification System","volume":"49","author":"Pulvermacher","year":"2021","journal-title":"J Perinat Med"},{"issue":"16","key":"10.1016\/j.ejogrb.2024.11.052_b0090","doi-asserted-by":"crossref","first-page":"2682","DOI":"10.1080\/14767058.2019.1670806","article-title":"An analysis of the high cesarean section rates in Turkey by Robson classification","volume":"34","author":"Eyi","year":"2021","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0095","first-page":"92","article-title":"An evaluation of Cesarean delivery rates according to Robson classification in the black sea region of Turkey","volume":"33","author":"Keskin","year":"2023","journal-title":"J Coll Physicians Surg Pak"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0100","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-069562","article-title":"Time trends in caesarean section rates and associations with perinatal and neonatal health: a population-based cohort study of 1 153 789 births in Norway","volume":"13","author":"Laine","year":"2023","journal-title":"BMJ Open"},{"issue":"7","key":"10.1016\/j.ejogrb.2024.11.052_b0105","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1111\/aogs.14350","article-title":"A step towards better audit: The Robson Ten Group classification system for outcomes other than cesarean section","volume":"101","author":"Savchenko","year":"2022","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"8","key":"10.1016\/j.ejogrb.2024.11.052_b0110","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0251141","article-title":"Variation between hospital caesarean delivery rates when Robson's classification is considered: An observational study from a French perinatal network","volume":"16","author":"Quibel","year":"2021","journal-title":"PLoS One"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0115","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.jogc.2020.06.030","article-title":"Use of the Robson classification system to assess cesarean delivery rate in a tertiary hospital in the basque country","volume":"43","author":"Valladolid","year":"2021","journal-title":"J Obstet Gynaecol Can"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0120","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.ejogrb.2020.07.012","article-title":"Impact of national guidelines on the cesarean delivery rate in France: a 2010\u20132016 comparison using the Robson classification","volume":"252","author":"Le Ray","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.11.052_b0125","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.3390\/ijerph17051575","article-title":"Analysis of caesarean section rates using the Robson Classification System at a University Hospital in Spain","volume":"17","author":"Vila-Candel","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0130","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/birt.12415","article-title":"The Robson 10-group classification in Iceland: Obstetric interventions and outcomes","volume":"46","author":"Einarsd\u00f3ttir","year":"2019","journal-title":"Birth"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0135","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1186\/s12884-017-1625-9","article-title":"Implementation of the Robson classification in clinical practice: Lithuania's experience","volume":"17","author":"Kacerauskiene","year":"2017","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0140","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1186\/s12884-018-2052-2","article-title":"Lithuania's experience in reducing caesarean sections among nulliparas","volume":"18","author":"Kacerauskiene","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.11.052_b0145","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.medici.2015.09.001","article-title":"Cesarean section rates in Lithuania using Robson Ten Group Classification System","volume":"51","author":"Bar\u010dait\u0117","year":"2015","journal-title":"Medicina (Kaunas)"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.11.052_b0150","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1111\/1471-0528.13199","article-title":"Stabilising the caesarean rate: which target population?","volume":"122","author":"Le Ray","year":"2015","journal-title":"BJOG"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0155","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1111\/aogs.12003","article-title":"Classification of cesarean sections among immigrants in Belgium","volume":"92","author":"Minsart","year":"2013","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0160","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1186\/s12884-020-03334-8","article-title":"Discrimination by parity is a prerequisite for assessing induction of labour outcome \u2013 cross-sectional study","volume":"20","author":"Denona","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"issue":"6","key":"10.1016\/j.ejogrb.2024.11.052_b0165","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0097769","article-title":"A systematic review of the Robson classification for caesarean section: what works, doesn't work and how to improve it","volume":"9","author":"Betr\u00e1n","year":"2014","journal-title":"PLoS One"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0170","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1111\/1471-0528.13284","article-title":"Wide differences in mode of delivery within Europe: risk-stratified analyses of aggregated routine data from the Euro-Peristat study","volume":"123","author":"Macfarlane","year":"2016","journal-title":"BJOG"},{"issue":"9","key":"10.1016\/j.ejogrb.2024.11.052_b0175","article-title":"Non-clinical interventions for reducing unnecessary caesarean section","volume":"9","author":"Chen","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.11.052_b0180","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1097\/AOG.0b013e3182a91e0f","article-title":"Association between vaginal birth after cesarean delivery and primary cesarean delivery rates","volume":"122","author":"Rosenstein","year":"2013","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0185","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.ejogrb.2019.10.037","article-title":"Should we advise women that pre-labor caesarean section prevents pelvic floor dysfunction?","volume":"244","author":"Gachon","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0190","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.ejogrb.2024.10.044","volume":"304","author":"Wladimiroff","year":"2025","journal-title":"Eur J Obstet Gynecol Reprod Biol."},{"issue":"9239","key":"10.1016\/j.ejogrb.2024.11.052_b0195","first-page":"1375","article-title":"Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial","volume":"356","author":"Hannah","year":"2000","journal-title":"Term Breech Trial Collaborative Group Lancet"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0200","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1016\/j.ejogrb.2020.03.049","article-title":"Breech presentation at term: Is it the time to revisit the mode: An introduction to the Mini-Symposium commissioned by the European Board and College of Obstetrics and Gynaecology (EBCOG)","volume":"252","author":"Mahmood","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0205","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1016\/j.ajog.2005.10.817","article-title":"Is planned vaginal delivery for breech presentation at term still an option? Results of an observational prospective survey in France and Belgium","volume":"194","author":"Goffinet","year":"2006","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0210","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.ejogrb.2020.04.029","article-title":"Maternal and neonatal outcome after vaginal breech delivery of nulliparous versus multiparous women of singletons at term-A prospective evaluation of the Frankfurt breech at term cohort (FRABAT)","volume":"252","author":"Kielland-Kaisen","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0215","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1111\/j.1471-0528.2010.02793.x","article-title":"Women's preference for caesarean section: a systematic review and meta-analysis of observational studies","volume":"118","author":"Mazzoni","year":"2011","journal-title":"BJOG"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.11.052_b0220","first-page":"e260","article-title":"Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob","volume":"3","author":"Vogel","year":"2015","journal-title":"Health"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0225","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pgph.0002877","article-title":"Global disparities in caesarean section rates: why indication-based metrics are needed","volume":"4","author":"Zaigham","year":"2024","journal-title":"PLOS Glob Public Health"},{"issue":"2020","key":"10.1016\/j.ejogrb.2024.11.052_b0230","article-title":"Using the Robson classification to explain the fluctuations in cesarean section","volume":"12","author":"Cammu","year":"2020","journal-title":"J Pregnancy"},{"issue":"7\u20139","key":"10.1016\/j.ejogrb.2024.11.052_b0235","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1080\/07399332.2019.1623800","article-title":"Emergency cesarean section among women in Robson groups one and three: a comparison study of immigrant and Norwegian women giving birth in a low-risk maternity hospital in Norway","volume":"40","author":"Bakken","year":"2019","journal-title":"Health Care Women Int"},{"issue":"10","key":"10.1016\/j.ejogrb.2024.11.052_b0240","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0240475","article-title":"A 10 year comparative study of caesarean deliveries using the Robson 10 group classification system in a university hospital in Austria","volume":"15","author":"Bracic","year":"2020","journal-title":"PLoS One"},{"issue":"6","key":"10.1016\/j.ejogrb.2024.11.052_b0245","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0234727","article-title":"Caesarean section trends in Catalonia between 2013 and 2017 based on the Robson classification system: a cross-sectional study","volume":"15","author":"Carrillo-Aguirre","year":"2020","journal-title":"PLoS One"},{"issue":"12","key":"10.1016\/j.ejogrb.2024.11.052_b0250","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1186\/1471-2393-12-54","article-title":"Risk adjustment models for interhospital comparison of CS rates using Robson's ten group classification system and other socio-demographic and clinical variables","volume":"21","author":"Colais","year":"2012","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0255","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.ajogmf.2019.05.002","article-title":"Indications contributing to the decreasing cesarean delivery rate at an academic tertiary center","volume":"1","author":"Cross","year":"2019","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0260","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1186\/s12884-020-03410-z","article-title":"Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity","volume":"20","author":"Crequit","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0265","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ejogrb.2019.03.011","article-title":"Cesarean delivery rates using Robson classification system in Ireland: what can we learn?","volume":"236","author":"Crosby","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"12","key":"10.1016\/j.ejogrb.2024.11.052_b0270","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1471-2393-12-3","article-title":"Limiting the caesarean section rate in low risk pregnancies is key to lowering the trend of increased abdominal deliveries: an observational study","volume":"9","author":"Delbaere","year":"2012","journal-title":"BMC Pregnancy Childbirth"},{"issue":"3","key":"10.1016\/j.ejogrb.2024.11.052_b0275","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1111\/birt.12612","article-title":"Achieving an appropriate cesarean birth (CB) rate and analyzing the changes using the Robson Ten-Group Classification System (TGCS): lessons from a Tertiary Care Hospital in Italy","volume":"49","author":"di Pasquo","year":"2022","journal-title":"Birth"},{"issue":"9","key":"10.1016\/j.ejogrb.2024.11.052_b0280","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1007\/s10995-021-03183-7","article-title":"Cesarean section rate and perinatal outcome analyses according to Robson's 10-group classification system","volume":"25","author":"Eftekharian","year":"2021","journal-title":"Matern Child Health J"},{"issue":"3","key":"10.1016\/j.ejogrb.2024.11.052_b0285","doi-asserted-by":"crossref","first-page":"213","DOI":"10.5455\/medarh.2016.70.213-216","article-title":"Cesarean section rate analysis in University Hospital Tuzla \u2013 according to Robson's classification","volume":"70","author":"Fatusic","year":"2016","journal-title":"Med Arch"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0290","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.ijgo.2005.10.016","article-title":"Indications associated with increased cesarean section rates in a Swedish hospital","volume":"92","author":"Florica","year":"2006","journal-title":"Int J Gynaecol Obstet"},{"issue":"3","key":"10.1016\/j.ejogrb.2024.11.052_b0295","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1111\/jog.15522","article-title":"Cesarean delivery rates based on time and indication using the Robson Ten-Group Classification System: assessment at a Turkish tertiary center","volume":"49","author":"Golbasi","year":"2023","journal-title":"J Obstet Gynaecol Res"},{"issue":"6","key":"10.1016\/j.ejogrb.2024.11.052_b0300","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1111\/jog.12964","article-title":"Evolution of cesarean categories in a modified Robson classification in a single center from 2002 to 2012 due to high rate of maternal pathology","volume":"42","author":"Jayot","year":"2016","journal-title":"J Obstet Gynaecol Res"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0305","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.ejogrb.2019.04.044","article-title":"The continuous audit of events and outcomes of labour and birth using the Ten Group Classification System and its role in quality improvement","volume":"237","author":"Kempe","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0310","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1186\/s12884-019-2364-x","article-title":"PreCARE study group; BiP study group. Differential rates of cesarean delivery by maternal geographical origin: a cohort study in France","volume":"19","author":"Linard","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"issue":"15","key":"10.1016\/j.ejogrb.2024.11.052_b0315","doi-asserted-by":"crossref","first-page":"2972","DOI":"10.1080\/14767058.2020.1803264","article-title":"Cesarean section rate is a matter of maternal age or parity?","volume":"35","author":"Marconi","year":"2022","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"6","key":"10.1016\/j.ejogrb.2024.11.052_b0320","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0062364","article-title":"The application of the Ten Group classification system (TGCS) in caesarean delivery case mix adjustment. A multicenter prospective study","volume":"8","author":"Maso","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0325","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/786563","article-title":"Interinstitutional variation of caesarean delivery rates according to indications in selected obstetric populations: a prospective multicenter study","volume":"2013","author":"Maso","year":"2013","journal-title":"Biomed Res Int"},{"issue":"144","key":"10.1016\/j.ejogrb.2024.11.052_b0330","article-title":"Analysis of caesarean section rates over time in a single Swiss centre using a ten-group classification system","volume":"19","author":"Mueller","year":"2014","journal-title":"Swiss Med Wkly"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0335","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.ejogrb.2024.06.034","article-title":"Trial and error \u2013 outcome of breech presentation depending on birth mode and root cause analysis of severe adverse events","volume":"299","author":"Nothelfer","year":"2024","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0340","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1080\/01443615.2020.1718625","article-title":"Rationalisation of the caesarean section rate in a tertiary referral hospital using the Robson classification","volume":"41","author":"Palacios-Marques","year":"2021","journal-title":"J Obstet Gynaecol"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0345","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.ejogrb.2020.09.017","article-title":"Impact of clinical audits on cesarean section rate in a Spanish hospital: analysis of 6 year data according to the Robson classification","volume":"254","author":"Pinto","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.11.052_b0350","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1111\/aogs.13108","article-title":"Cesarean section trends in the Nordic Countries \u2013 a comparative analysis with the Robson classification","volume":"96","author":"Pyyk\u00f6nen","year":"2017","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0355","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1111\/aogs.14327","article-title":"Cesarean section rate changes after audit and feedback with the Ten Group Classification System in a French perinatal network: a retrospective pre-post study","volume":"101","author":"Quibel","year":"2022","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0360","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/j.1479-828X.2000.tb03161.x","article-title":"Term breech birth in New South Wales, 1990\u20131997","volume":"40","author":"Roberts","year":"2000","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"7","key":"10.1016\/j.ejogrb.2024.11.052_b0365","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-016192","article-title":"A method to assess obstetric outcomes using the 10-Group Classification System: a quantitative descriptive study","volume":"7","author":"Rossen","year":"2017","journal-title":"BMJ Open"},{"issue":"21","key":"10.1016\/j.ejogrb.2024.11.052_b0370","doi-asserted-by":"crossref","first-page":"6503","DOI":"10.3390\/jcm11216503","article-title":"Trends in caesarean section rate according to Robson group classification among pregnant women with SARS-CoV-2 infection: a single-center large cohort study in Italy","volume":"11","author":"Sirico","year":"2022","journal-title":"J Clin Med"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0375","doi-asserted-by":"crossref","first-page":"180","DOI":"10.3390\/medicina56040180","article-title":"Non-clinical variables influencing cesarean section rate according to Robson classification","volume":"56","author":"Strambi","year":"2020","journal-title":"Medicina (Kaunas)"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.11.052_b0380","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-020011","article-title":"Role of maternal characteristics and epidural analgesia on caesarean section rate in groups 1 and 3 according to Robson's classification: a cohort study in an Italian university hospital setting","volume":"8","author":"Triunfo","year":"2018","journal-title":"BMJ Open"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0385","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ejogrb.2015.03.030","article-title":"Identification of obstetric targets for reducing cesarean section rate using the Robson Ten Group Classification in a tertiary level hospital","volume":"189","author":"Triunfo","year":"2015","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.11.052_b0390","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1002\/ijgo.12842","article-title":"Evaluation of cesarean delivery rates at three university hospital labor units using the Robson classification system","volume":"146","author":"Zahumensky","year":"2019","journal-title":"Int J Gynaecol Obstet"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0395","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1002\/ijgo.13345","article-title":"Impact of implementing a multifaceted intervention to reduce rates of cesarean section: a quality-improvement study","volume":"151","author":"Zahumensky","year":"2020","journal-title":"Int J Gynaecol Obstet"},{"issue":"6","key":"10.1016\/j.ejogrb.2024.11.052_b0400","first-page":"476","article-title":"The effect of anti-pandemic measures on some aspects of obstetric care in a single obstetric unit in the Slovak Republic","volume":"94","author":"Zahumensky","year":"2023","journal-title":"Ginekol Pol"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.11.052_b0405","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.ijgo.2016.08.001","article-title":"Best practice advice on the 10-Group Classification System for cesarean deliveries","volume":"135","author":"FIGO Working Group On Challenges In Care Of Mothers And Infants During Labour And Delivery","year":"2016","journal-title":"Int J Gynaecol Obstet"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0410","first-page":"129","article-title":"EBCOG position statement on caesarean section in Europe","volume":"219","author":"European Board And College Of Obstetrics And Gynaecology EBCOG","year":"2017","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2024.11.052_b0415","unstructured":"Standards of care for women\u2019s health in Europe. [Internet]. EBCOG. Published 2014. Accessed 6 September 2024. Available at: https:\/\/eeca.unfpa.org\/sites\/default\/files\/pub-pdf\/Standards%20of%20Care%20for%20Obstetric%20and%20Neonatal%20Services.pdf."}],"container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211524006675?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211524006675?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T15:32:47Z","timestamp":1737387167000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211524006675"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":83,"alternative-id":["S0301211524006675"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2024.11.052","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Robson ten group classification system for Caesarean sections across Europe: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2024.11.052","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}