Perspectives of obstetricians and midwives on the preference for caesarean deliveries: a qualitative exploration in Andhra Pradesh, India

The study highlights that while medical indications are a valid basis for conducting c-sections, a substantial proportion of c-sections are happening due to the influence of non-clinical factors such as socio-cultural beliefs, maternal preferences, systemic challenges and provider convenience. The findings emphasize the need for a comprehensive regulatory framework, with standard clinical protocols, periodic audits, and maternal education, to reduce unnecessary c-sections in Andhra Pradesh.