IMPLEMENTATION OF ROBSON TEN GROUP CLASSIFICATION SYSTEM IN MOROCCAN MATERNITIES FOR C SECTION RATES EVALUATION: A MULTICENTRIC PILOT STUDY

C-Section is a lifesaving procedure practised in obstetrics to decrease maternal and foetal morbidity and mortality. CS rates vary widely depending on the country, hospital, and each obstetricians experience.The World Health Organization recommends that the C-section rate should not exceed 10-15% of all deliveries, as higher rates are not associated with improved outcomes for mothers or babies.13The overall rate of c section in Morocco was reported in 2019 following a national survey to be 18.8%, with significant variation across different regions and sectors ( 25.5% in the private sector versus 14.4% in the public sector) In order to compare and analyse the variation in CS rates within the same or amongst multiple maternity institutions, the WHO (2015) recommended using the Robson Ten-Group Classification System (RTGCS) as a standardised, universal system. This classification categorises women into ten groups based on obstetrical characteristics of parity, number of foetuses, foetal presentation, gestational age and onset of labour13Les Orangers maternity hospital for reproductive health is a WHO collaborating center in North Africa, that implements several WHO programs.Our center received a request from the ministry of health, to help in the national effort for the implementation of the Robson Ten Group Classification System in eight Moroccan referral maternities (4 University maternity hospitals, 4 regional maternities)The aim of the study is to show the disparities of the obstetrical practice and c section rates between the different regions in Morocco using a standardised tool, which is the RTGCS, and describe our efforts to implement it in Moroccan maternities.Our methodology and results are described and analysed in the following article.