Caesarean sections overtake natural vaginal births for the first time

"More babies are being born by caesarean section in England than delivered naturally - without assistance - for the first time. Latest NHS data for 2024-25 shows that 45% of births were by C-section, compared to 44% which were spontaneous, a term used to describe a natural vaginal birth. Another 11% needed extra support and interventions like forceps. Nearly half of the caesaereans - when the baby is delivered by surgeons cutting into the mother's abdomen and womb - were planned in advance."

"NHS England says the increase is influenced by many factors, including women choosing to have this kind of birth and a rise in pre-existing conditions such as diabetes and obesity. Experts say the picture behind the figures is "very complex"."

""evolving picture over time". "We know there is an increasing maternal age, we know there is rising ill health. I also think previous experience will play a part. "Birth trauma and having a caesarian section first time, may influence their decision to have a C-section the second time round."

Caesarean births in England now account for 45% of deliveries, surpassing spontaneous vaginal births at 44%, with 11% assisted deliveries. Nearly half of caesareans are planned in advance. The increase is influenced by multiple factors including maternal choice and a rise in pre-existing conditions such as diabetes and obesity. Increasing maternal age and rising ill health contribute, as do previous birth experiences and birth trauma, which can lead to repeat caesareans. Improved detection of fetal wellbeing deterioration during labour has led to more appropriate surgical responses. The number of caesareans has doubled over the past decade and the causes remain complex.

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