Abstract        Introduction: Caesarean section is one of the most common surgeries performed in modern obstetrics. At the beginning, the process was started for the interest of the mother but now it is frequently performed for fetal indications. Though, it was introduced in clinical practice as a life saving procedure for the mother and the child, as time elapsed, this procedure also developed some health care inequity in the world like other procedures of complexities. Under use in low income setting and adequate or even unnecessary use in middle and high income setting. Enhancing C- section Rate: In India the rate of caesarean delivery has increased from 3 per cent to 10 per cent between 1992-93 and 2005-06 (IIPS, 2007)^, are lower in comparison to some developing nations like Brazil and China. But, as India is the second most populous country in the world, a small percentage increase in rate affects huge number of population. In India, family members sometimes demand that the baby be born on an auspicious date and time by C-section for horoscopic/astrological preferences. Conclusion: Patients choice for the caesarian delivery is one of the major factors for rising trends in the C-section rate. Barring genuine indications, Obstetricians convenience and financial considerations are other major factors. With the prevailing situations patients must be informed about the later consequences like placenta previa, repeat C- section, postpartum hemorrhage and other morbidities.

Keywords: Patients Choices for Cesarean Delivery Enhanced C-Section Rate