Aims and objectives:
• To use Robson’s Ten Group Classification System to evaluate caesarean sections in present institution.
• To understand the reasons behind the CS rates for different groups of Ten Group Classification System specific to present institution.

Study Design and Settings: The prospective observational study conducted for a period of one year from 15th July 2020 to 15th July 2021 which included all women admitted in the labour room of GMERS medical college and general hospital, Gotri, Vadodara, Gujarat for delivery over in the analysis.

Methods and Material: The data compilation and statistical analysis was performed according to Robson’s Ten Group Classification using Microsoft excel version 2011 and Med Calc software. For each group, we have calculated the caesarean section rate within the group and its absolute and relative contribution to the overall caes arean rate.

Results: A total 1768 patients delivered in the present institute and out of which 1069 were vaginal deliveries and 699 were caesarean section over this study period of one year. The overall caesarean section rate (CSR) was 39.54%, maximum contribution to total CS was from group 5, followed by group 1, group 2, group 10, and group 3. Less contribution from group 4, group 7, group 6, group 8 and least from group 9. Group 1, 2, 3 & 4 were low risk group.