Cesarean Section Trends: A Longitudinal Analysis Using the Robson Classification in Dubai

Cesarean Section Trends: A Longitudinal Analysis Using the Robson Classification in Dubai | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 7 April 2026 V1 Latest version Share on Cesarean Section Trends: A Longitudinal Analysis Using the Robson Classification in Dubai Authors : Zenab Yusuf Tambawala 0000-0002-5289-5884 [email protected] , Shabnam Saquib , Ikram Hassan , Munia Khalid , and Lama Khalid Authors Info & Affiliations https://doi.org/10.22541/au.177554735.52901543/v1 138 views 57 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective: To analyse the evolution of cesarean section rates over three separate years, decades apart at Dubai Hospital using the Robson classification. Design: Retrospective observational study Setting: Tertiary care hospital in Dubai Population: 9,998 women who delivered at a during three distinct periods: 2002, 2012, and 2022 Method: Deliveries were categorized into ten mutually exclusive Robson groups based on six obstetric parameters- number of fetus, parity, gestational age, previous cesarean, fetal lie and onset of labour. We evaluated group size, group-specific cesarean section rates, absolute and relative contributions to the overall cesarean rate, alongside shifts in maternal demographics and instrumental delivery trends. Results: The overall cesarean section rate was 24.65% in 2002, 27.77% in 2012 and 40.17% in 2022. Notably, cesarean section rates in unscarred multipara (Group 3) were found to be considerably low, at 5.97% in 2002, 4.00% in 2012 and 5.36% in 2022. Group 5b (women with more than one prior cesarean section) demonstrated a progressive increase in size, from 3.15% in 2002 to 6.77% in 2012 and 7.32% in 2022. Group 10 (preterm, cephalic presentation) similarly expanded in proportion, rising from 6.18% in 2002 to 7.53% in 2012 to 12.41% in 2022, with a corresponding escalation in cesarean section rate from 32.5% in 2002 to 44.76% in 2012 to 61.05% in 2022. The cesarean section rate among nulliparous women in spontaneous labor (Group 1) increased from 20.5% in 2002 to 26.6% in 2022. Conclusions: This retrospective analysis demonstrates the disproportionate contribution of Group 5b and Group 10 to the rising cesarean section rates observed over the study period. The progressive accumulation of women with multiple prior cesarean sections reflects the compounding obstetric consequences of primary cesarean delivery, emphasizing the critical importance of judicious decision-making at the time of first cesarean. The concurrent expansion of Group 10 in both proportional size and cesarean section rate signals an increasing preterm birth burden. Supplementary Material File (manuscript robson 3 decades 0604.docx) Download 5.59 MB Information & Authors Information Version history V1 Version 1 07 April 2026 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords delivery: caesarean section general obstetrics Authors Affiliations Zenab Yusuf Tambawala 0000-0002-5289-5884 [email protected] Dubai Hospital View all articles by this author Shabnam Saquib Dubai Hospital View all articles by this author Ikram Hassan Dubai Hospital View all articles by this author Munia Khalid Dubai Hospital View all articles by this author Lama Khalid Dubai Hospital View all articles by this author Metrics & Citations Metrics Article Usage 138 views 57 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Zenab Yusuf Tambawala, Shabnam Saquib, Ikram Hassan, et al. Cesarean Section Trends: A Longitudinal Analysis Using the Robson Classification in Dubai. Authorea . 07 April 2026. DOI: https://doi.org/10.22541/au.177554735.52901543/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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