Interpretation
The CS rate in our institution is very similar to the Australia national CS rate and it is increasing over time in line with global trends. The major groups contributing to our CS rate are groups 5, 2 and 1 and efforts aiming to reduce our CS rate should therefore target these groups. Strategies to reduce CS rates in our institution should include increasing the availability of VBAC, reviewing our policies and indications for IOL, especially in nulliparous women and improving management and surveillance of labour, all of which are strategies that have been suggested before19. Furthermore, other characteristics of our population should also be taken into consideration when planning strategies to reduce our CS rate. Finally, other proven strategies to reduce CS section rates could be implemented such as audit and feedback 20, 21 using the Robson classification to inform audit processes and progress over time.