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It was a retrospective cross section study conducted for a period of 6 months from January 2019 at Teaching Hospital Batticaloa, Sri Lanka to identify the main groups contributing to a high caesarian section rates using the Robson’s classification. All the caesarian sections were included during the study period and the total numbers of deliveries were 2968, out of which 720 were caesarean deliveries, giving an overall caesarean section rate of 25.13%. The previous results contribute 30 % of the CS. Therefore, increasing Vaginal Birth after Cesarean Section (VBAC) can greatly reduce the CS rates. Further, 52% of CS was done primarily. It is also an important target population of major concern in order to reduce the overall CS rates in this institution.
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