Background: Caesarean sections (CS) are one of the most frequently performed operations 
in women. The rates of CS performed worldwide are increasing and this rising trend is seen in 
both developed as well as developing countries including Egypt. Hence, the present study 
aimed to determine the rate of CS and to detect the medical and non-medical reasons behind 
the CS. Methods: A cross-sectional study of 400 women who had given birth within the past 
two years attending health centers were recruited during the period from April to October 
2017. A structured interview questionnaire was used to determine the prevalence of CS and 
medical and non-medical reasons behind this it. Results: It was found that 37% of mothers
were delivered by CS. About 90% of them reported medical reasons behind their CS, (25.9%) 
of mothers with medical reasons reported a history of CS as the main medical reason. 
Regarding the non-medical reasons 75% of the mothers reported fear of vaginal delivery as 
the main reason. Conclusion: The rate of caesarean section was high. Most of caesarean 
sections were medically indicated.