Robson's Grade 5 of LSCS criteria includes?

Appeared in: NORCET 3 - 2022 (Shift-2)

Explanation

Robson Group 5 specifically categorizes women who have had at least one previous Cesarean section.
The criteria for Group 5 are: a multiparous woman with a single fetus in cephalic (head-down) presentation, at term (≥37 weeks gestation), with a history of a prior uterine scar from a Cesarean section.
Option D accurately combines all these elements: multiparity, singleton cephalic pregnancy, term gestation, and a previous LSCS.

Option A: This describes women in Robson Group 1 (if in spontaneous labor) or Group 2 (if induced or having a pre-labor Cesarean).
Option B: This describes multiparous women without a previous Cesarean section. They fall into Robson Group 3 (if in spontaneous labor) or Group 4 (if induced or having a pre-labor Cesarean).
Option C: This describes nulliparous women with a singleton breech presentation, which corresponds to Robson Group 6.

Visual 1: Infographic: A table summarizing the 10 Robson Groups, highlighting the characteristics of each group (parity, previous CS, fetal presentation, onset of labor, and gestational age).

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Robson Ten Group Classification System (TGCS) as background academic context rather than a clinical decision trigger.
The Robson classification is the global standard recommended by the WHO for monitoring and comparing Cesarean section rates across different hospitals, regions, and countries.
By analyzing CS rates within each of the 10 groups, healthcare systems can identify which patient populations are contributing most to the overall rate and target interventions appropriately.
A high CS rate in Group 5 might indicate low rates of successful Vaginal Birth After Cesarean (VBAC), prompting a review of patient selection and management for Trial of Labor After Cesarean (TOLAC).

How to Approach the Question

This is a factual recall question testing knowledge of a specific classification system used in obstetrics.
First, identify the key term in the question: 'Robson's Grade 5'.
Recall the definition of each of the 10 Robson groups, or at least the most common ones (Groups 1-5).
The defining characteristic of Group 5 is a previous Cesarean section scar.
Evaluate each option: Option A is for nulliparous women. Option B is for multiparous women but without a previous CS. Option C is about breech presentation. Option D correctly identifies the patient as multiparous with a previous LSCS, a singleton cephalic fetus, and at term.

Concept Tested & Keywords

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Practise the full NORCET 3 - 2022 (Shift-2)

Attempt every question from this paper in a timed mock, then review the full solution for each one.