Latin America and the Caribbean has the highest caesarean section rate in the world, with more than 44 per cent of births performed by this method [1]. In Argentina, C-sections increased steadily between 2010 and 2018, reaching an average of 35.7 per cent of births in Argentine public health facilities in 2018, ranging from 27 per cent in the province of Chaco to 58.9 per cent in the province of Tierra del Fuego [2].

In addition, more than half of births in private institutions are performed by caesarean section, and this number is increasing. Some private hospitals perform C-sections in alarming proportions, approaching 80% [3].

The high C-section rate in South American countries may be at least partly responsible for the increase in premature births in the region.

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

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

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