Background : Cesarean section rates at an alarming rise in India. According to WHO, there is no justification to have more than 10–15% CS. Current rate of CS even in Government hospitals in Kerala  is as high as 43%. In view of the upsurging CS rates in Kerala, we conducted a prospective observational study to evaluate the rate and determine the cause of Cesarean births according to ROBSON’S criteria in our institute. Aim: Evaluate CS rate and identify major contributors to CS in our institute. Result : CS rate in our institution for 2014–2016 was  35.57%, the major contributors being previous CS single cephalic >37wks and nulliparous single cephalic >37wks, induced patients. Conclusion: Reducing CS rates can seem daunting because there are so many contributing factors. Determining the most important contributors for CS rates gives you a place to begin. Robsons criteria identifies the subpopulations driving changes in CS rates.