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).