Introduction
Cesarean section (CS) rates are rising globally over the recommended threshold of 10% CS rate.1Previous data from household surveys have shown that with rising trends and a large population in the reproductive age group, India will soon have the most cesarean sections, globally.2However, granular multi-year analyses are missing. In this India-wide retrospective analysis, we estimated CS rates at different geographic levels, annual percent changes, and public-private health sector differences using data from India’s Health Management Information System (HMIS).