Caesarean section rates and indications: a cross-sectional study from a tertiary care centre in Türkiye
Abstract
Globally, including in Türkiye, caesarean section (C-section) rates have been rising steadily, largely due to changes in clinical practices, maternal preferences, medico-legal concerns, and healthcare system dynamics. This study aims to investigate the impact of a high patient load on C-section rates and their indications within a tertiary care setting. This retrospective study was conducted on women with deliveries over four years, from June 1, 2020, to May 1, 2025. For pairwise comparisons, numerical and nominal variables were analysed with independent t-test or Pearson’s chi-squared test, respectively. A p-value 35 years, multiparity, all categories of preterm birth, early-term birth, low birth weight, and macrosomia. Our findings indicate that the overall C-section rate was 55.0%. Among the indications for C-section, the most common was previous uterine surgery, which includes prior C-section and/or myomectomy, followed by foetal distress.
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.
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