Latin America and the Caribbean hold the highest caesarean section rate in the world, with more than 44% of births carried out with this method [1]. In Argentina, caesarean sections increased steadily between 2010 and 2018, reaching an average of 35.7% of births in Argentine public health facilities in 2018, ranging from 27% in Chaco province to 58.9% in Tierra del Fuego province [2].
In addition, more than half of births in private institutions are performed by Caesarean section, and this number is rising. Some private hospitals perform caesarean sections at an alarmingly high rate, approaching 80% [3].
The high caesarean section rate in South American countries may be at least partly responsible for the increase in preterm births in the region.

[1Boerma T, Ronsmans C, Melesse DY, et al. Global epidemiology of use of and disparities in caesarean sections. Lancet 2018; 392: 1341–48

[2Sistema Informático Perinatal para la Gestión SIP-G – Indicadores Básicos 2018 – República Argentina

[3The rising incidence and impact of non-medically indicated pre-labour cesarean section in Latin America (Mariani et al.)