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The Caesarean Boom: Weighing the Benefits and Burdens of Rising Surgical Births

The New Indian Express Shivamogga

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July 01, 2025

Across India—and notably in private healthcare sectors—the rate of Caesarean sections (C-sections) has surged beyond natural vaginal deliveries.

- Dr. B. Mallikarjuna Kirthi, MBBS DGO FRCOG CCT(UK) Former NHS consultant, Scotland, UK

Across India—and notably in private healthcare sectors—the rate of Caesarean sections (C-sections) has surged beyond natural vaginal deliveries. The rise of Caesarean deliveries reflects a broader transformation in maternity care, driven by convenience, caution, and changing capabilities. Restoring trust in natural birth—and investing in the skills and systems to support it—remains critical for the health of mothers and newborns alike.

"In many private hospitals today, Caesarean births have overtaken normal deliveries," says Dr. B. Mallikarjuna Kirthi, Consultant Obstetrician and Gynaecologist at Keerthi Hospital, Chitradurga.

While C-sections are a life-saving surgical option, their increasing prevalence has ignited concerns among health professionals, policymakers, and patients alike.

Why Are C-Section Rates Rising?

Dr. Kirthi identifies a mix of clinical, systemic, and cultural factors. "One major reason is the gradual loss of skills among younger doctors to conduct complex vaginal deliveries, including breech or instrumental births using forceps or vacuum," he explains.

Another significant contributor is fear of medicolegal consequences. "Doctors and hospitals often opt for a C-section to avoid the risk of complications like birth injuries, even when a vaginal delivery would be medically safe," he notes.

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