The increasing trend in caesarean section (CS) rates from 1990 to 2014 is analyzed globally, regionally, and nationally. CS rates have risen significantly, with the global average increasing from 6.7% to 19.1%, an average annual rate of increase (AARI) of 4.4%. The highest CS rates are found in Latin America and the Caribbean (40.5%), followed by Northern America (32.3%), Oceania (31.1%), Europe (25%), Asia (19.2%), and Africa (7.3%). The largest absolute increases occurred in Latin America and the Caribbean (19.4%), Asia (15.1%), Oceania (14.1%), Europe (13.8%), Northern America (10%), and Africa (4.5%). Asia and Northern America had the highest and lowest AARI, respectively (6.4% and 1.6%). Despite the global increase, disparities persist between high- and low-resource settings. The study highlights the need for policies to optimize CS use, emphasizing that CS rates should be based on medical necessity rather than a specific target. The findings underscore the importance of addressing the factors contributing to the rise in CS rates, including cultural, economic, and social influences. The study also notes that some countries, such as Egypt, have seen dramatic increases in CS rates, while others, like Finland and Costa Rica, have seen minimal increases. The analysis concludes that while CS rates have increased globally, there is a need for further research and interventions to ensure that CS is used appropriately and safely. The study provides a comprehensive overview of CS trends and highlights the importance of equitable access to care and the need for targeted interventions to reduce unnecessary CS rates.The increasing trend in caesarean section (CS) rates from 1990 to 2014 is analyzed globally, regionally, and nationally. CS rates have risen significantly, with the global average increasing from 6.7% to 19.1%, an average annual rate of increase (AARI) of 4.4%. The highest CS rates are found in Latin America and the Caribbean (40.5%), followed by Northern America (32.3%), Oceania (31.1%), Europe (25%), Asia (19.2%), and Africa (7.3%). The largest absolute increases occurred in Latin America and the Caribbean (19.4%), Asia (15.1%), Oceania (14.1%), Europe (13.8%), Northern America (10%), and Africa (4.5%). Asia and Northern America had the highest and lowest AARI, respectively (6.4% and 1.6%). Despite the global increase, disparities persist between high- and low-resource settings. The study highlights the need for policies to optimize CS use, emphasizing that CS rates should be based on medical necessity rather than a specific target. The findings underscore the importance of addressing the factors contributing to the rise in CS rates, including cultural, economic, and social influences. The study also notes that some countries, such as Egypt, have seen dramatic increases in CS rates, while others, like Finland and Costa Rica, have seen minimal increases. The analysis concludes that while CS rates have increased globally, there is a need for further research and interventions to ensure that CS is used appropriately and safely. The study provides a comprehensive overview of CS trends and highlights the importance of equitable access to care and the need for targeted interventions to reduce unnecessary CS rates.