Caesarean section is the most frequently performed major surgery in modern Obstetrics. The rate of caesarean section have shown significant rise in last three decades .This trend is seen all over the world .This has some serious implications on the risk of scar rupture and resultant rise in maternal and perinatal morbidity and mortality .This paper summarizes the changing trends and the reasons behind it. Obstetrician must keep in mind the possible threats of rise in caesarean section rates and must perform this procedure judiciously.
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