Abstract : This study was conducted to identify the factors contributing to increasing caesarean section rates. This study was conducted at Maharajah’s Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India, between January 2021 to December 2021.This was a prospective observational study. All antenatal cases delivered by caesarean section were considered for the study. All were screened for inclusion criteria and those who were eligible for the study were explained about the study and asked for the voluntary consent. Those who had given written consent were included in the study. Out of 200 cases, 39% of them were not willing to undergo Vaginal Birth After C-Section(VBAC), 22% had fetal distress, 13% had Previous LSCS. 47% of the cases had repeat c-section. 78% underwent Emergency C-Section and 22% of the cases underwent elective c-section. Factors include maternal literacy, higher-than-average BMI, and multiparity were associated to an increase in caesarean section rates. Pregnancy induced hypertension was a more typically associated comorbidity with caesarean section. The majority of patients who had caesarean section had cephalic presentation. Primary and emergency c-sections were more prevalent than repeat and elective c-sections. Foetal distress was the most common reason for a first caesarean procedure, whereas not willing for VBAC was the most common reason for a repeat caesarean surgery.