Background: from year 1993-1995 and it includes all

Background: Caesarean section is recommended when vaginal delivery might pose a risk to the mother or baby. C-sections are also carried out for personal and social reasons. Systematic reviews have found no strong evidence about the impact of caesareans for non-medical reasons.  Materials and methods: This Cohort  study was conducted at gynecology department of B.J medical college and attached civil hospital , Ahmadabad, Gujarat,india from year 1993-1995 and it includes  all cases admitted in Labor Room in the hospital.  Results: Total deliveries conducted  during 2 year of period is 2500 and out of which 725 cases underwent for caesarean section for various indications. Prevalence rate of caesarean section was 29.0 %.Previous caesarean was the most common indication for caesarean delivery.  Conclusion: From Our study I would like to conclude that the prevalence of caesarean rate was higher in our study when compared to state and district caesarean rates.  Maternal age, Associated medical disorder and Nuliparity has significant effect on determining rate of caesarian section while Education and socioeconomic status has not significant effect on it. Utilization of ANC, better doctor patient communication, doctor’s commitment to reduce the rate of CS, government’s intention to develop better health care infrastructure and strict vigil on the private health institutions may help to reduce the high and increasing rate of caesarean delivery. Keywords: Robson’s Classification , Caesarean section,  A caesarean section is a surgical procedure to deliver a baby through a cut in the mother’s abdomen (tummy) and uterus (womb). There are several medical reasons why you might plan for a caesarean, or your medical team might decide it’s safest for you to have an emergency caesarean after labour begins. Caesarean section (CS or C-section) is a surgical intervention which is carried out to ensure safety of mother and child when vaginal delivery is not possible (emergency CS) or when the doctors consider that the danger to the mother and baby would be greater with a vaginal delivery (planned CS). Proportion of CS to the total births is considered as one of the important indicators of emergency obstetric care (World Health Organization, 2009) In this context the rapid increase of CS rate throughout the world has become a serious public health issue because several studies have found that the high rate of caesarean section delivery does not necessarily contribute to an improved maternal health and pregnancy outcome. 1,2 In India the rural-urban difference between C-section rates is quite conspicuous. The rate of CS is higher in urban areas than their rural counterparts for all the states 3,4. The rural-urban gap is relatively low in the states of Haryana, Delhi, Arunachal Pradesh and Kerala (below 5 percentage points). On the other hand, the gap is very high in the states of Jammu & Kashmir, West Bengal and Tripura (above 20 percentage points). The higher urban rates may be a reflection of combination of factors like higher availability and utilization of maternal health care services, larger concentration of private health institutions in the cities and towns etc. Moreover, the demographic and socio-economic backgrounds of the persons living in the rural and urban places affect the CS rate to a great extent. 5  Our study is an effort to find out the prevalence of caesarean section, identify its determinants in order to bring in a modus operandi for reduction in the rates. METHODOLOGY  This cohort study was conducted at gynecology department of B.J medical college and attached civil hospital ,Ahmedabad, Gujarat,india from year 1993-1995 and it includes  all cases admitted in Labor Room in the hospital.  including booked, unbooked and referred cases. Data was collected by direct interviews using structured questionnaire, and from medical records. RESULTS Among total 2500 deliveries ,we divide it in to 2 type .one is vaginal and second is Caesarean section. after that percentage of vaginal and Caesarean section delivery is calculated based on various parameters like age, education status, socioeconomic status, parity, associated medical condition, indication of Caesarean section, timing of Caesarean section etc.. DISCUSSION In India there is an increasing trend of c-section delivery with increase in the institutional deliveries and growing access to gynaecological and obstetric care.