Since 1985, the international health care community has considered the ideal rate for caesarean sections to be between 10% and 15%. But in both developed and developing countries the c-section rates are steadily increasing since then. When medically justified, c-sections can effectively reduce maternal and perinatal mortality and morbidity. But no longer associated with reducing maternal or neonatal morbidity and mortality who undergo unnecessary c-section (2). Moreover, c-section are associated with significant short and long term morbidities which are procedure related.rnWHO proposes Robson’s criteria to analyze treads in c-section rates globally (1). This is an universal classification system bench is meant for audit propose. With this background we have analysed mode of deliveries in government hospital, in the city of Visakhapatnam during the period between Jan, 2015 to June, 2015.rnThe results were analyzed. The c-section rates were significantly higher. To conclude, when medically indicated c-section is beneficial to both mother and baby. Increase in primary c-section rates is becoming alarming. A thorough audit of c-section rates should be undertaken to cut down the incidence of unnecessary c-section rates (3).rn