The study presents the latest global, regional, and national trends in Caesarean Section (CS) rates from 1990 to 2014. The analysis is based on nationally representative data from 150 countries, with a focus on calculating regional and subregional weighted averages. The results show that the global CS rate increased from 6.7% in 1990 to 19.1% in 2014, with a 12.4% absolute increase and an average annual rate of increase (AARI) of 4.4%. Latin America and the Caribbean had the highest CS rates (40.5%), followed by Northern America (32.3%), Oceania (31.1%), Europe (25%), Asia (19.2%), and Africa (7.3%). The largest absolute increases were observed in Latin America and the Caribbean (19.4%), followed by Asia (15.1%), Oceania (14.1%), Europe (13.8%), Northern America (10%), and Africa (4.5%). The study highlights the need for policy and global strategies to optimize the use of CS, addressing the gap between higher- and lower-resource settings.The study presents the latest global, regional, and national trends in Caesarean Section (CS) rates from 1990 to 2014. The analysis is based on nationally representative data from 150 countries, with a focus on calculating regional and subregional weighted averages. The results show that the global CS rate increased from 6.7% in 1990 to 19.1% in 2014, with a 12.4% absolute increase and an average annual rate of increase (AARI) of 4.4%. Latin America and the Caribbean had the highest CS rates (40.5%), followed by Northern America (32.3%), Oceania (31.1%), Europe (25%), Asia (19.2%), and Africa (7.3%). The largest absolute increases were observed in Latin America and the Caribbean (19.4%), followed by Asia (15.1%), Oceania (14.1%), Europe (13.8%), Northern America (10%), and Africa (4.5%). The study highlights the need for policy and global strategies to optimize the use of CS, addressing the gap between higher- and lower-resource settings.